| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,240 |
3,671 |
$322K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,482 |
3,170 |
$180K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
847 |
843 |
$60K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
666 |
665 |
$48K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
584 |
578 |
$44K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
673 |
651 |
$42K |
| 99215 |
Prolong outpt/office vis |
233 |
209 |
$24K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,952 |
1,640 |
$17K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,181 |
1,178 |
$17K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,890 |
1,874 |
$15K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
883 |
844 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
278 |
273 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
88 |
85 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
255 |
227 |
$2K |
| 96127 |
|
451 |
447 |
$1K |
| 99051 |
|
149 |
147 |
$842.10 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
57 |
55 |
$749.75 |
| 99188 |
|
85 |
82 |
$561.33 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
59 |
57 |
$440.69 |
| 90474 |
|
43 |
43 |
$416.87 |
| 90651 |
|
130 |
130 |
$229.34 |
| 81002 |
|
72 |
69 |
$146.12 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
12 |
12 |
$126.00 |
| 90473 |
|
41 |
41 |
$122.94 |
| 1160F |
|
683 |
621 |
$4.70 |
| 90680 |
|
57 |
57 |
$0.00 |
| 90686 |
|
528 |
523 |
$0.00 |
| 90716 |
|
61 |
60 |
$0.00 |
| 90698 |
|
176 |
174 |
$0.00 |
| 90647 |
|
298 |
294 |
$0.00 |
| 90723 |
|
311 |
308 |
$0.00 |
| 90620 |
|
42 |
42 |
$0.00 |
| 90744 |
|
27 |
27 |
$0.00 |
| 90696 |
|
13 |
13 |
$0.00 |
| 90670 |
|
601 |
595 |
$0.00 |
| 90707 |
|
89 |
88 |
$0.00 |
| 90715 |
|
38 |
38 |
$0.00 |
| 90633 |
|
148 |
143 |
$0.00 |
| 90734 |
|
160 |
156 |
$0.00 |
| 90681 |
|
78 |
78 |
$0.00 |