| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,543 |
14,493 |
$1.65M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,859 |
7,419 |
$800K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,849 |
3,420 |
$416K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,533 |
2,513 |
$273K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,216 |
1,212 |
$125K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,876 |
2,747 |
$91K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
295 |
288 |
$30K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
70 |
70 |
$9K |
| 99460 |
|
43 |
43 |
$4K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
27 |
27 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$1K |
| 87807 |
|
123 |
119 |
$1K |
| 90686 |
|
549 |
548 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
250 |
233 |
$1K |
| 99382 |
|
14 |
14 |
$1K |
| 90677 |
|
206 |
191 |
$1K |
| 54150 |
|
12 |
12 |
$1K |
| 99406 |
|
75 |
71 |
$869.12 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
30 |
29 |
$868.48 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
86 |
86 |
$647.92 |
| 83655 |
|
46 |
46 |
$484.65 |
| 99307 |
|
12 |
12 |
$251.00 |
| 85018 |
|
96 |
95 |
$200.45 |
| 88720 |
|
36 |
25 |
$160.92 |
| 90661 |
|
65 |
65 |
$103.50 |
| 90656 |
|
12 |
12 |
$20.93 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
12 |
$2.96 |
| 90723 |
|
672 |
659 |
$0.00 |
| 90680 |
|
566 |
554 |
$0.00 |
| 90647 |
|
553 |
545 |
$0.00 |
| 96380 |
|
15 |
15 |
$0.00 |
| 90381 |
|
12 |
12 |
$0.00 |
| 90651 |
|
25 |
25 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| 90670 |
|
687 |
687 |
$0.00 |
| 90633 |
|
136 |
135 |
$0.00 |
| 90700 |
|
13 |
13 |
$0.00 |
| 96160 |
|
14 |
14 |
$0.00 |