| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,920 |
3,628 |
$233K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,248 |
2,987 |
$125K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
551 |
487 |
$39K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
460 |
419 |
$29K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
981 |
895 |
$26K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,078 |
533 |
$13K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
147 |
138 |
$10K |
| 92551 |
|
1,160 |
1,028 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
717 |
683 |
$7K |
| 99173 |
|
1,171 |
1,038 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
31 |
30 |
$814.62 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
12 |
$738.02 |
| 90651 |
|
176 |
153 |
$562.11 |
| 96127 |
|
122 |
110 |
$450.34 |
| 90734 |
|
93 |
88 |
$309.71 |
| 85018 |
|
159 |
129 |
$297.70 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
13 |
$213.40 |
| 36416 |
|
160 |
130 |
$143.28 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
15 |
$117.44 |
| 90686 |
|
222 |
214 |
$111.25 |
| 36415 |
Collection of venous blood by venipuncture |
15 |
15 |
$25.10 |
| 90461 |
|
53 |
50 |
$0.00 |
| 99000 |
|
47 |
46 |
$0.00 |