| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,774 |
9,832 |
$922K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,459 |
7,880 |
$470K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,623 |
2,506 |
$302K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,142 |
1,921 |
$231K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,508 |
1,453 |
$158K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,963 |
5,481 |
$118K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
573 |
554 |
$63K |
| 90461 |
|
1,632 |
1,533 |
$37K |
| 99188 |
|
1,217 |
1,185 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
854 |
775 |
$8K |
| 81002 |
|
4,727 |
4,542 |
$7K |
| 96127 |
|
1,553 |
1,416 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
272 |
269 |
$4K |
| 83655 |
|
233 |
209 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$870.72 |
| 99381 |
|
17 |
15 |
$820.60 |
| 97803 |
|
12,766 |
11,196 |
$448.52 |
| 85018 |
|
140 |
132 |
$197.14 |
| 99173 |
|
3,086 |
2,892 |
$170.45 |
| 87420 |
|
15 |
14 |
$155.54 |
| 90657 |
|
13 |
13 |
$10.00 |
| 90648 |
|
255 |
237 |
$10.00 |
| 90658 |
|
34 |
34 |
$10.00 |
| 90670 |
|
356 |
338 |
$10.00 |
| 92551 |
|
2,699 |
2,520 |
$0.00 |
| 90686 |
|
202 |
192 |
$0.00 |
| 97802 |
|
125 |
111 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
187 |
165 |
$0.00 |
| 90723 |
|
75 |
66 |
$0.00 |
| 90688 |
|
17 |
13 |
$0.00 |
| 90716 |
|
25 |
24 |
$0.00 |
| 90680 |
|
26 |
26 |
$0.00 |
| 90734 |
|
13 |
13 |
$0.00 |
| 90633 |
|
57 |
57 |
$0.00 |