| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
649 |
584 |
$59K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
789 |
723 |
$50K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
400 |
387 |
$37K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
708 |
659 |
$34K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
290 |
269 |
$25K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
352 |
331 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
47 |
45 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
160 |
122 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
12 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
53 |
53 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
56 |
28 |
$944.96 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
31 |
28 |
$444.02 |
| 94760 |
|
73 |
65 |
$390.81 |
| 92552 |
|
121 |
113 |
$353.88 |
| 85018 |
|
94 |
87 |
$271.85 |
| 99173 |
|
269 |
245 |
$260.17 |
| 36415 |
Collection of venous blood by venipuncture |
18 |
16 |
$9.45 |
| 90647 |
|
62 |
59 |
$0.00 |
| 90723 |
|
82 |
76 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
29 |
27 |
$0.00 |
| 99000 |
|
16 |
15 |
$0.00 |
| 90686 |
|
28 |
25 |
$0.00 |
| 36416 |
|
43 |
41 |
$0.00 |
| 90670 |
|
119 |
108 |
$0.00 |
| 90685 |
|
29 |
25 |
$0.00 |
| 90700 |
|
14 |
12 |
$0.00 |