| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
685 |
606 |
$49K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
494 |
458 |
$24K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
272 |
241 |
$23K |
| 90670 |
|
82 |
69 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
757 |
661 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
137 |
124 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
129 |
99 |
$10K |
| 90698 |
|
99 |
64 |
$7K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
345 |
292 |
$6K |
| 90686 |
|
239 |
213 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
91 |
84 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
157 |
115 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
23 |
18 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
193 |
163 |
$1K |
| 90685 |
|
60 |
55 |
$1K |
| 92552 |
|
236 |
206 |
$992.96 |
| 90633 |
|
15 |
14 |
$497.65 |
| 36416 |
|
147 |
125 |
$389.09 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15 |
14 |
$255.54 |
| 96161 |
|
107 |
78 |
$189.65 |
| 83655 |
|
13 |
12 |
$155.11 |
| 85018 |
|
50 |
43 |
$131.95 |
| 96127 |
|
57 |
51 |
$110.57 |
| 99173 |
|
252 |
218 |
$106.64 |
| 99051 |
|
15 |
13 |
$11.00 |