| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,759 |
3,216 |
$253K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,777 |
2,414 |
$119K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,478 |
1,366 |
$109K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,321 |
1,166 |
$89K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
638 |
600 |
$46K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
290 |
268 |
$22K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
745 |
372 |
$18K |
| 90670 |
|
895 |
851 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
579 |
502 |
$9K |
| 90686 |
|
1,061 |
957 |
$8K |
| 90651 |
|
200 |
176 |
$8K |
| 90723 |
|
643 |
596 |
$6K |
| 90710 |
|
180 |
173 |
$6K |
| 90633 |
|
653 |
595 |
$6K |
| 90680 |
|
563 |
524 |
$6K |
| 90647 |
|
636 |
597 |
$5K |
| 90734 |
|
153 |
138 |
$4K |
| 87807 |
|
252 |
178 |
$2K |
| 90696 |
|
177 |
170 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
161 |
108 |
$2K |
| 90716 |
|
68 |
68 |
$1K |
| 85018 |
|
507 |
456 |
$1K |
| 90715 |
|
99 |
89 |
$971.45 |
| 90707 |
|
82 |
81 |
$937.52 |
| 90700 |
|
46 |
44 |
$349.60 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
12 |
$325.05 |
| 36416 |
|
202 |
198 |
$258.30 |
| 81003 |
|
41 |
40 |
$85.02 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
345 |
312 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
64 |
56 |
$0.00 |