| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,796 |
5,794 |
$529K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,566 |
1,470 |
$109K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,092 |
985 |
$72K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
675 |
655 |
$49K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
369 |
332 |
$19K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
249 |
243 |
$19K |
| 90670 |
|
836 |
765 |
$15K |
| 99215 |
Prolong outpt/office vis |
98 |
96 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
265 |
256 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
499 |
385 |
$7K |
| 90648 |
|
786 |
722 |
$7K |
| 90723 |
|
555 |
505 |
$5K |
| 85018 |
|
2,575 |
2,409 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
505 |
178 |
$5K |
| 90651 |
|
84 |
84 |
$4K |
| 90680 |
|
239 |
222 |
$3K |
| 90633 |
|
266 |
253 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,469 |
1,387 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
193 |
170 |
$2K |
| 83655 |
|
223 |
212 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
20 |
17 |
$2K |
| 90619 |
|
24 |
24 |
$2K |
| 90688 |
|
208 |
200 |
$2K |
| 87807 |
|
172 |
144 |
$2K |
| 90734 |
|
84 |
83 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
835 |
793 |
$1K |
| 90710 |
|
63 |
58 |
$997.85 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
641 |
562 |
$848.22 |
| 90696 |
|
57 |
52 |
$718.20 |
| 99173 |
|
325 |
295 |
$674.88 |
| 36416 |
|
2,629 |
2,433 |
$652.91 |
| 90686 |
|
68 |
55 |
$589.99 |
| 90715 |
|
30 |
30 |
$390.70 |
| 90461 |
|
195 |
178 |
$237.36 |
| 81002 |
|
82 |
76 |
$197.83 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
35 |
31 |
$186.23 |
| 81001 |
|
89 |
82 |
$147.89 |
| 90700 |
|
13 |
13 |
$138.76 |
| 90716 |
|
14 |
13 |
$134.20 |
| 90707 |
|
14 |
13 |
$134.20 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
95 |
60 |
$128.28 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
97 |
86 |
$16.23 |
| 90474 |
|
13 |
13 |
$13.80 |