| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,226 |
10,201 |
$636K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,544 |
2,801 |
$105K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,486 |
1,246 |
$86K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,168 |
933 |
$56K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
922 |
784 |
$54K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,555 |
2,153 |
$30K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,756 |
1,517 |
$19K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
262 |
232 |
$18K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
272 |
171 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
695 |
413 |
$11K |
| 92551 |
|
1,090 |
974 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
473 |
410 |
$4K |
| 99188 |
|
169 |
141 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
113 |
58 |
$2K |
| 85018 |
|
1,225 |
987 |
$2K |
| 99381 |
|
34 |
31 |
$2K |
| 99173 |
|
1,096 |
964 |
$2K |
| 81002 |
|
1,113 |
874 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
32 |
28 |
$514.63 |
| 90473 |
|
53 |
39 |
$396.34 |
| 81001 |
|
489 |
392 |
$324.52 |
| 90474 |
|
28 |
27 |
$237.38 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
15 |
14 |
$82.12 |
| 81005 |
|
73 |
67 |
$74.39 |
| 90672 |
|
58 |
47 |
$5.00 |
| 90647 |
|
166 |
148 |
$0.03 |
| 90723 |
|
97 |
85 |
$0.00 |
| 90696 |
|
14 |
12 |
$0.00 |
| 90650 |
|
20 |
14 |
$0.00 |
| 90686 |
|
92 |
58 |
$0.00 |
| 90634 |
|
43 |
27 |
$0.00 |
| 90697 |
|
79 |
69 |
$0.00 |
| 90633 |
|
273 |
231 |
$0.00 |
| 90670 |
|
700 |
607 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 90710 |
|
73 |
52 |
$0.00 |
| 90681 |
|
28 |
26 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 90649 |
|
19 |
15 |
$0.00 |