| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,456 |
6,550 |
$716K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,708 |
3,408 |
$247K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
706 |
679 |
$67K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
547 |
529 |
$56K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,351 |
2,258 |
$42K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
181 |
178 |
$17K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
170 |
169 |
$16K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,009 |
948 |
$16K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
759 |
745 |
$13K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
840 |
811 |
$9K |
| 90656 |
|
1,026 |
965 |
$8K |
| 99401 |
|
264 |
226 |
$8K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
384 |
373 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
45 |
43 |
$4K |
| 99383 |
|
26 |
26 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
17 |
17 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
46 |
45 |
$694.65 |
| 81002 |
|
25 |
25 |
$83.89 |
| 90649 |
|
180 |
172 |
$0.00 |
| 90734 |
|
112 |
109 |
$0.00 |
| 90715 |
|
142 |
138 |
$0.00 |
| 90655 |
|
17 |
13 |
$0.00 |