| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,016 |
4,468 |
$445K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,793 |
3,434 |
$238K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,354 |
1,263 |
$130K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,199 |
1,163 |
$121K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,033 |
1,006 |
$97K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
374 |
359 |
$37K |
| 97802 |
|
857 |
835 |
$4K |
| 90686 |
|
354 |
343 |
$3K |
| 36416 |
|
5,410 |
5,020 |
$2K |
| 85018 |
|
3,788 |
3,668 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
657 |
640 |
$838.25 |
| 90723 |
|
337 |
325 |
$633.68 |
| 90696 |
|
44 |
42 |
$600.80 |
| 92551 |
|
1,155 |
1,120 |
$458.62 |
| 90648 |
|
467 |
452 |
$451.06 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
285 |
264 |
$423.09 |
| 96127 |
|
368 |
353 |
$358.57 |
| 96161 |
|
600 |
551 |
$329.64 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
832 |
718 |
$299.70 |
| 88738 |
|
290 |
276 |
$291.43 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
791 |
774 |
$257.35 |
| 90670 |
|
418 |
407 |
$226.20 |
| 90710 |
|
77 |
74 |
$207.17 |
| 90734 |
|
29 |
27 |
$138.12 |
| 90633 |
|
97 |
95 |
$119.88 |
| 90715 |
|
28 |
25 |
$113.81 |
| 90651 |
|
13 |
13 |
$96.67 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
426 |
419 |
$31.16 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
27 |
26 |
$29.55 |
| 83655 |
|
37 |
36 |
$13.19 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
52 |
52 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
21 |
15 |
$0.00 |
| 99173 |
|
1,133 |
1,097 |
$0.00 |
| 90461 |
|
444 |
434 |
$0.00 |
| 81002 |
|
13 |
12 |
$0.00 |
| 90681 |
|
49 |
49 |
$0.00 |