| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16,479 |
13,681 |
$1.74M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,350 |
18,023 |
$1.49M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15,270 |
13,951 |
$507K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,245 |
3,905 |
$487K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,724 |
3,386 |
$452K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,611 |
3,120 |
$390K |
| 92015 |
Determination of refractive state |
8,555 |
7,624 |
$307K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,466 |
2,316 |
$302K |
| 96127 |
|
14,826 |
10,408 |
$299K |
| 92587 |
|
8,597 |
7,724 |
$257K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
10,003 |
6,866 |
$208K |
| 96160 |
|
3,214 |
2,878 |
$58K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
6,284 |
2,518 |
$55K |
| 36416 |
|
16,061 |
14,717 |
$38K |
| 87428 |
|
1,109 |
1,062 |
$35K |
| 96161 |
|
1,527 |
1,318 |
$29K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,098 |
1,844 |
$20K |
| 92551 |
|
2,467 |
2,369 |
$15K |
| 99173 |
|
2,111 |
2,010 |
$15K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
394 |
342 |
$7K |
| 99188 |
|
474 |
339 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
172 |
147 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
154 |
136 |
$4K |
| D0145 |
Oral evaluation for a patient under three years of age |
67 |
65 |
$2K |
| 99442 |
|
62 |
46 |
$2K |
| 99051 |
|
219 |
206 |
$2K |
| 87807 |
|
245 |
150 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
16 |
12 |
$1K |
| 87420 |
|
138 |
131 |
$1K |
| 83655 |
|
134 |
127 |
$1K |
| 90651 |
|
807 |
734 |
$275.00 |
| 94760 |
|
145 |
106 |
$165.59 |
| 90686 |
|
7,549 |
6,829 |
$152.29 |
| 85018 |
|
15,702 |
14,397 |
$118.82 |
| 81003 |
|
8,826 |
8,020 |
$111.27 |
| 90670 |
|
1,258 |
1,176 |
$0.02 |
| 90461 |
|
4,976 |
4,591 |
$0.00 |
| 90633 |
|
197 |
179 |
$0.00 |
| 90734 |
|
178 |
173 |
$0.00 |
| 90715 |
|
13 |
13 |
$0.00 |
| 90685 |
|
13 |
13 |
$0.00 |
| 99000 |
|
2,740 |
2,378 |
$0.00 |
| 90677 |
|
229 |
224 |
$0.00 |
| 90744 |
|
103 |
101 |
$0.00 |
| 90680 |
|
299 |
284 |
$0.00 |
| 90620 |
|
38 |
38 |
$0.00 |
| 90698 |
|
510 |
481 |
$0.00 |