| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,407 |
4,969 |
$272K |
| 99215 |
Prolong outpt/office vis |
4,488 |
2,942 |
$264K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,181 |
3,226 |
$125K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
788 |
633 |
$44K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
678 |
583 |
$33K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,847 |
1,702 |
$32K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,343 |
1,070 |
$29K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
418 |
344 |
$27K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
745 |
541 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
151 |
118 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
106 |
74 |
$7K |
| 92551 |
|
722 |
601 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
463 |
345 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
239 |
218 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
407 |
240 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
341 |
303 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
75 |
66 |
$3K |
| 99173 |
|
772 |
647 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
174 |
144 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,535 |
1,233 |
$2K |
| 96127 |
|
206 |
152 |
$641.57 |
| 81003 |
|
524 |
410 |
$551.91 |
| 90670 |
|
634 |
553 |
$520.00 |
| 90461 |
|
833 |
673 |
$440.56 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,623 |
1,195 |
$433.63 |
| 90688 |
|
311 |
226 |
$285.60 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
200 |
158 |
$201.84 |
| 87807 |
|
20 |
15 |
$185.99 |
| 90716 |
|
16 |
12 |
$172.17 |
| 90698 |
|
381 |
334 |
$127.31 |
| 90680 |
|
247 |
222 |
$110.31 |
| 90656 |
|
21 |
12 |
$96.13 |
| 96161 |
|
81 |
73 |
$77.44 |
| 81025 |
|
20 |
12 |
$65.47 |
| 90633 |
|
105 |
85 |
$44.21 |
| 90744 |
|
134 |
125 |
$31.45 |
| 36416 |
|
16 |
16 |
$30.43 |
| 99000 |
|
48 |
46 |
$0.00 |