| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,390 |
7,915 |
$699K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,311 |
3,075 |
$209K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
734 |
734 |
$103K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
98 |
97 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
340 |
337 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
55 |
55 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
104 |
104 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
135 |
125 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15 |
15 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
122 |
122 |
$926.98 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
78 |
77 |
$643.67 |
| 90674 |
|
23 |
23 |
$621.39 |
| 90686 |
|
12 |
12 |
$230.23 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
17 |
16 |
$190.54 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
13 |
$147.40 |
| 96127 |
|
14 |
12 |
$61.46 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
13 |
$27.45 |