| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,952 |
5,968 |
$369K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,099 |
1,094 |
$99K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
640 |
631 |
$61K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
701 |
698 |
$59K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,989 |
1,946 |
$40K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,581 |
1,312 |
$33K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,234 |
2,193 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
96 |
94 |
$7K |
| 90670 |
|
529 |
524 |
$6K |
| 99188 |
|
299 |
296 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
235 |
228 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
14 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
98 |
98 |
$1K |
| 90474 |
|
109 |
108 |
$830.00 |
| 87430 |
|
109 |
107 |
$544.86 |
| 90658 |
|
451 |
447 |
$538.89 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
27 |
27 |
$266.30 |
| 90710 |
|
27 |
27 |
$220.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
18 |
12 |
$23.76 |
| 90685 |
|
91 |
91 |
$0.00 |
| 99173 |
|
495 |
479 |
$0.00 |
| 90633 |
|
68 |
68 |
$0.00 |
| 90648 |
|
135 |
133 |
$0.00 |
| 90734 |
|
13 |
13 |
$0.00 |
| 90707 |
|
21 |
21 |
$0.00 |
| 92551 |
|
446 |
432 |
$0.00 |
| 90680 |
|
114 |
112 |
$0.00 |
| 90716 |
|
19 |
19 |
$0.00 |