| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,451 |
2,106 |
$155K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,773 |
1,583 |
$73K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,986 |
1,006 |
$42K |
| 96160 |
|
1,694 |
931 |
$29K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
379 |
313 |
$25K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
888 |
683 |
$24K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
321 |
260 |
$22K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
716 |
582 |
$12K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
177 |
147 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
112 |
99 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
275 |
227 |
$8K |
| 96127 |
|
1,484 |
1,166 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
326 |
158 |
$4K |
| 99215 |
Prolong outpt/office vis |
35 |
24 |
$3K |
| 92551 |
|
325 |
285 |
$2K |
| 69210 |
|
50 |
37 |
$2K |
| 87631 |
|
33 |
12 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
37 |
30 |
$2K |
| 99460 |
|
31 |
30 |
$2K |
| 99173 |
|
232 |
195 |
$1K |
| 99177 |
|
194 |
161 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
137 |
115 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
37 |
34 |
$394.83 |
| 90686 |
|
592 |
488 |
$377.41 |
| 94760 |
|
615 |
536 |
$203.01 |
| 81003 |
|
94 |
82 |
$184.42 |
| 92558 |
|
43 |
29 |
$175.77 |
| 85018 |
|
59 |
45 |
$122.22 |
| 36416 |
|
60 |
46 |
$104.69 |
| 36415 |
Collection of venous blood by venipuncture |
33 |
27 |
$82.48 |
| 3008F |
|
18 |
13 |
$62.86 |
| 90648 |
|
50 |
41 |
$21.23 |
| 99072 |
|
342 |
245 |
$7.00 |
| 99000 |
|
594 |
517 |
$0.00 |
| 90670 |
|
58 |
49 |
$0.00 |