| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,259 |
12,392 |
$663K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,256 |
4,165 |
$297K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,268 |
6,872 |
$257K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,285 |
3,008 |
$199K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
17,260 |
7,070 |
$196K |
| 99429 |
|
2,883 |
2,794 |
$91K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,067 |
4,855 |
$67K |
| 87428 |
|
1,456 |
1,392 |
$48K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,988 |
1,949 |
$46K |
| 99381 |
|
509 |
498 |
$41K |
| 90677 |
|
1,813 |
1,769 |
$37K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
441 |
440 |
$36K |
| 99215 |
Prolong outpt/office vis |
419 |
407 |
$31K |
| 90461 |
|
6,565 |
5,609 |
$30K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,337 |
2,593 |
$24K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
167 |
167 |
$15K |
| 87807 |
|
1,233 |
1,197 |
$13K |
| 92552 |
|
477 |
465 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
100 |
99 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
205 |
191 |
$3K |
| 90619 |
|
39 |
39 |
$2K |
| 99382 |
|
17 |
16 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
23 |
15 |
$271.17 |
| 90670 |
|
2,017 |
2,000 |
$0.00 |
| 90633 |
|
1,122 |
1,097 |
$0.00 |
| 90710 |
|
611 |
593 |
$0.00 |
| 90707 |
|
70 |
69 |
$0.00 |
| 90681 |
|
1,001 |
984 |
$0.00 |
| 99173 |
|
715 |
702 |
$0.00 |
| 90648 |
|
25 |
25 |
$0.00 |
| 90698 |
|
1,365 |
1,344 |
$0.00 |
| 90697 |
|
1,438 |
1,420 |
$0.00 |
| 90680 |
|
1,000 |
992 |
$0.00 |
| 90696 |
|
91 |
90 |
$0.00 |
| 90716 |
|
30 |
29 |
$0.00 |
| 90723 |
|
25 |
25 |
$0.00 |
| 96127 |
|
12 |
12 |
$0.00 |
| 96161 |
|
26 |
25 |
$0.00 |
| 90686 |
|
97 |
97 |
$0.00 |
| 90651 |
|
14 |
14 |
$0.00 |