| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,558 |
9,097 |
$882K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,178 |
12,325 |
$864K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
6,023 |
5,950 |
$483K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,944 |
5,837 |
$483K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,891 |
3,863 |
$327K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,244 |
2,952 |
$227K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
5,761 |
5,750 |
$99K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
9,462 |
9,418 |
$93K |
| 99215 |
Prolong outpt/office vis |
636 |
611 |
$77K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
182 |
181 |
$21K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,451 |
1,428 |
$20K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,047 |
926 |
$12K |
| 97802 |
|
7,347 |
7,305 |
$9K |
| 92587 |
|
687 |
687 |
$7K |
| 87081 |
|
1,538 |
1,498 |
$5K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
603 |
580 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
67 |
66 |
$5K |
| 92015 |
Determination of refractive state |
266 |
266 |
$3K |
| 83655 |
|
224 |
224 |
$3K |
| 99174 |
|
233 |
233 |
$568.45 |
| 90677 |
|
209 |
209 |
$520.00 |
| 85018 |
|
225 |
225 |
$465.92 |
| 90649 |
|
189 |
189 |
$80.00 |
| 90685 |
|
130 |
130 |
$10.00 |
| 90620 |
|
97 |
97 |
$10.00 |
| 90633 |
|
1,577 |
1,569 |
$0.00 |
| 90621 |
|
94 |
94 |
$0.00 |
| 90670 |
|
2,234 |
2,228 |
$0.00 |
| 90710 |
|
704 |
703 |
$0.00 |
| 90715 |
|
298 |
298 |
$0.00 |
| 90734 |
|
655 |
651 |
$0.00 |
| 90707 |
|
112 |
112 |
$0.00 |
| 90700 |
|
301 |
300 |
$0.00 |
| 90723 |
|
621 |
619 |
$0.00 |
| 90698 |
|
703 |
702 |
$0.00 |
| 90744 |
|
241 |
240 |
$0.00 |
| 90680 |
|
1,038 |
1,035 |
$0.00 |
| 90647 |
|
935 |
931 |
$0.00 |
| 90651 |
|
321 |
321 |
$0.00 |
| 90686 |
|
2,756 |
2,748 |
$0.00 |
| 90716 |
|
114 |
114 |
$0.00 |
| 90696 |
|
393 |
393 |
$0.00 |
| 90619 |
|
219 |
219 |
$0.00 |