| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,199 |
8,832 |
$728K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,395 |
11,260 |
$682K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,416 |
2,195 |
$193K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,228 |
1,993 |
$192K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,064 |
1,875 |
$177K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,687 |
1,567 |
$151K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,223 |
5,457 |
$40K |
| 90671 |
|
399 |
389 |
$29K |
| 97802 |
|
3,717 |
3,083 |
$25K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
6,673 |
5,096 |
$13K |
| 99215 |
Prolong outpt/office vis |
173 |
128 |
$11K |
| 90649 |
|
323 |
273 |
$3K |
| 99381 |
|
45 |
44 |
$3K |
| 99383 |
|
28 |
28 |
$3K |
| 90686 |
|
1,326 |
1,061 |
$2K |
| 99384 |
|
12 |
12 |
$1K |
| 90715 |
|
294 |
289 |
$991.97 |
| 90620 |
|
780 |
625 |
$936.19 |
| 90633 |
|
957 |
839 |
$891.91 |
| 90710 |
|
744 |
597 |
$752.77 |
| 90647 |
|
949 |
882 |
$537.52 |
| 90670 |
|
1,265 |
1,192 |
$414.06 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
46 |
43 |
$359.73 |
| 90723 |
|
1,011 |
940 |
$318.19 |
| 99051 |
|
90 |
88 |
$315.74 |
| 90696 |
|
115 |
114 |
$272.08 |
| 90734 |
|
207 |
201 |
$114.01 |
| 81003 |
|
275 |
258 |
$62.51 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
13 |
$58.07 |
| 85018 |
|
110 |
110 |
$38.69 |
| 36416 |
|
45 |
45 |
$1.62 |
| 90697 |
|
184 |
173 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
14 |
12 |
$0.00 |
| 90619 |
|
15 |
13 |
$0.00 |
| 90681 |
|
440 |
414 |
$0.00 |
| 90700 |
|
30 |
28 |
$0.00 |