| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,334 |
2,940 |
$245K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,191 |
1,923 |
$164K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,014 |
1,744 |
$134K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,518 |
2,255 |
$120K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
541 |
505 |
$40K |
| 90670 |
|
1,022 |
922 |
$15K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
815 |
749 |
$15K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
281 |
265 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
116 |
112 |
$10K |
| 90686 |
|
872 |
786 |
$9K |
| 90647 |
|
693 |
607 |
$7K |
| 90723 |
|
686 |
610 |
$7K |
| 90633 |
|
571 |
481 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
230 |
111 |
$6K |
| 90680 |
|
505 |
455 |
$5K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
75 |
71 |
$5K |
| 90677 |
|
53 |
50 |
$5K |
| 87634 |
|
88 |
84 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
137 |
108 |
$2K |
| 90710 |
|
108 |
82 |
$2K |
| 90696 |
|
117 |
91 |
$2K |
| 90651 |
|
84 |
63 |
$1K |
| 90734 |
|
65 |
47 |
$1K |
| 90715 |
|
56 |
39 |
$890.11 |
| 85018 |
|
368 |
288 |
$828.24 |
| 96127 |
|
30 |
27 |
$570.51 |
| 87807 |
|
36 |
32 |
$331.98 |
| 83655 |
|
22 |
22 |
$252.80 |
| 96160 |
|
13 |
12 |
$160.60 |
| 36416 |
|
13 |
13 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
12 |
$0.00 |