| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,857 |
5,571 |
$275K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,591 |
3,391 |
$114K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,729 |
1,707 |
$113K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,668 |
1,654 |
$106K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,467 |
3,517 |
$87K |
| 99215 |
Prolong outpt/office vis |
685 |
671 |
$47K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,052 |
2,993 |
$41K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
544 |
541 |
$40K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,495 |
1,461 |
$31K |
| 99429 |
|
1,100 |
1,092 |
$31K |
| 87428 |
|
530 |
518 |
$25K |
| 90677 |
|
208 |
198 |
$18K |
| 99381 |
|
186 |
185 |
$13K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,722 |
1,460 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
147 |
147 |
$12K |
| 90461 |
|
3,269 |
2,665 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
182 |
182 |
$10K |
| 99383 |
|
102 |
102 |
$8K |
| 87807 |
|
529 |
524 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
65 |
65 |
$5K |
| 99382 |
|
57 |
57 |
$4K |
| 90619 |
|
23 |
23 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
222 |
199 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
12 |
12 |
$144.87 |
| 92552 |
|
188 |
183 |
$133.75 |
| 96160 |
|
102 |
102 |
$89.01 |
| 90680 |
|
882 |
874 |
$0.00 |
| 90698 |
|
977 |
964 |
$0.00 |
| 90744 |
|
55 |
55 |
$0.00 |
| 90686 |
|
85 |
83 |
$0.00 |
| 90697 |
|
662 |
651 |
$0.00 |
| 90651 |
|
45 |
45 |
$0.00 |
| 96127 |
|
125 |
121 |
$0.00 |
| 90716 |
|
175 |
175 |
$0.00 |
| 90696 |
|
151 |
151 |
$0.00 |
| 96161 |
|
28 |
28 |
$0.00 |
| 90688 |
|
22 |
22 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |
| 90710 |
|
255 |
247 |
$0.00 |
| 90670 |
|
1,535 |
1,521 |
$0.00 |
| 90707 |
|
364 |
364 |
$0.00 |
| 99173 |
|
248 |
244 |
$0.00 |
| 90633 |
|
900 |
885 |
$0.00 |
| 90681 |
|
165 |
164 |
$0.00 |
| 90715 |
|
17 |
17 |
$0.00 |
| 90658 |
|
13 |
12 |
$0.00 |