| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,009 |
8,822 |
$666K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,398 |
9,435 |
$547K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,088 |
3,155 |
$68K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
981 |
910 |
$60K |
| 90651 |
|
433 |
387 |
$59K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,057 |
1,013 |
$59K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
537 |
489 |
$29K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,656 |
1,548 |
$21K |
| 97802 |
|
3,250 |
3,034 |
$18K |
| 99050 |
|
1,003 |
893 |
$17K |
| 99051 |
|
745 |
686 |
$17K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
780 |
753 |
$13K |
| 87070 |
|
1,664 |
1,502 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,614 |
1,472 |
$12K |
| 90688 |
|
404 |
368 |
$5K |
| 90734 |
|
122 |
99 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
68 |
65 |
$4K |
| 90672 |
|
90 |
85 |
$2K |
| 90686 |
|
490 |
446 |
$2K |
| 99383 |
|
28 |
28 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
27 |
27 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
32 |
25 |
$2K |
| 90621 |
|
12 |
12 |
$1K |
| 81025 |
|
155 |
140 |
$1K |
| 92015 |
Determination of refractive state |
25 |
24 |
$478.02 |
| 90670 |
|
28 |
24 |
$240.00 |
| 81002 |
|
26 |
24 |
$68.54 |
| S9451 |
Exercise classes, non-physician provider, per session |
3,137 |
2,921 |
$56.00 |
| 90715 |
|
14 |
13 |
$20.00 |
| 90707 |
|
20 |
15 |
$10.00 |
| 90716 |
|
13 |
13 |
$10.00 |
| 3008F |
|
19,248 |
14,394 |
$0.04 |
| 90461 |
|
102 |
93 |
$0.00 |
| 90658 |
|
83 |
79 |
$0.00 |
| 90648 |
|
14 |
12 |
$0.00 |
| 90633 |
|
13 |
12 |
$0.00 |
| 90660 |
|
16 |
14 |
$0.00 |