| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,253 |
5,981 |
$600K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12,009 |
6,610 |
$276K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,508 |
2,367 |
$256K |
| 90461 |
|
3,831 |
3,576 |
$248K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,361 |
2,328 |
$242K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,075 |
2,024 |
$172K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,489 |
1,477 |
$154K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
460 |
459 |
$48K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,020 |
2,968 |
$45K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
928 |
888 |
$19K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
417 |
386 |
$14K |
| 99080 |
|
1,062 |
1,058 |
$9K |
| 0071A |
|
137 |
134 |
$5K |
| 99381 |
|
26 |
25 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
71 |
70 |
$3K |
| 99383 |
|
16 |
16 |
$3K |
| 90480 |
|
70 |
56 |
$2K |
| 99460 |
|
14 |
14 |
$1K |
| 99072 |
|
415 |
397 |
$1K |
| 91319 |
|
14 |
12 |
$952.33 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
13 |
13 |
$844.11 |
| 81003 |
|
372 |
368 |
$748.99 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
24 |
24 |
$566.97 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
24 |
24 |
$456.32 |
| 99173 |
|
31 |
31 |
$203.00 |
| 90651 |
|
146 |
143 |
$42.18 |
| 90686 |
|
1,048 |
1,023 |
$31.66 |
| 90670 |
|
1,174 |
1,150 |
$21.45 |
| 90658 |
|
112 |
110 |
$13.24 |
| 90656 |
|
397 |
396 |
$3.00 |
| 90648 |
|
412 |
408 |
$2.88 |
| 90680 |
|
556 |
533 |
$2.58 |
| 90657 |
|
133 |
133 |
$1.21 |
| 90633 |
|
291 |
291 |
$1.06 |
| 90723 |
|
125 |
125 |
$0.85 |
| 90677 |
|
53 |
53 |
$0.76 |
| 90685 |
|
52 |
52 |
$0.47 |
| 90660 |
|
65 |
64 |
$0.45 |
| 90672 |
|
118 |
114 |
$0.28 |
| 90671 |
|
249 |
243 |
$0.28 |
| 90734 |
|
38 |
38 |
$0.25 |
| 90655 |
|
26 |
25 |
$0.25 |
| 90698 |
|
12 |
12 |
$0.08 |
| 90697 |
|
114 |
106 |
$0.05 |
| 90619 |
|
53 |
51 |
$0.00 |
| 91307 |
|
153 |
150 |
$0.00 |
| 90716 |
|
31 |
31 |
$0.00 |
| 90710 |
|
26 |
25 |
$0.00 |
| 90700 |
|
13 |
13 |
$0.00 |
| 90715 |
|
20 |
18 |
$0.00 |
| 90707 |
|
20 |
20 |
$0.00 |