| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,776 |
4,012 |
$190K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,538 |
4,605 |
$146K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,691 |
1,485 |
$79K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,279 |
1,029 |
$57K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
707 |
649 |
$33K |
| 3008F |
|
3,339 |
2,991 |
$25K |
| 99188 |
|
2,381 |
2,109 |
$24K |
| 99173 |
|
921 |
831 |
$14K |
| 90686 |
|
2,521 |
2,243 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
345 |
293 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
147 |
121 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,456 |
4,743 |
$3K |
| 90648 |
|
576 |
486 |
$2K |
| 90670 |
|
594 |
497 |
$2K |
| 90672 |
|
121 |
102 |
$2K |
| 0071A |
|
54 |
39 |
$1K |
| 90461 |
|
2,017 |
1,732 |
$1K |
| 36416 |
|
559 |
470 |
$880.54 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
16 |
13 |
$840.95 |
| 99215 |
Prolong outpt/office vis |
15 |
14 |
$814.22 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
59 |
54 |
$793.98 |
| 90677 |
|
38 |
37 |
$748.21 |
| 90656 |
|
42 |
42 |
$540.00 |
| 90723 |
|
148 |
132 |
$506.13 |
| 94760 |
|
272 |
227 |
$451.89 |
| 83655 |
|
47 |
38 |
$354.77 |
| 0072A |
|
22 |
13 |
$234.69 |
| 85018 |
|
134 |
117 |
$220.49 |
| 90633 |
|
22 |
12 |
$29.79 |
| 99072 |
|
1,491 |
1,060 |
$6.50 |
| 91307 |
|
111 |
63 |
$0.10 |
| 91300 |
|
14 |
14 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
305 |
280 |
$0.00 |
| 99174 |
|
94 |
77 |
$0.00 |