| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,350 |
7,005 |
$559K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,543 |
3,437 |
$326K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,248 |
3,030 |
$284K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,620 |
3,240 |
$178K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,736 |
1,652 |
$151K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
262 |
250 |
$24K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,252 |
2,255 |
$14K |
| 99381 |
|
67 |
58 |
$5K |
| 90670 |
|
302 |
290 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
167 |
166 |
$2K |
| 99382 |
|
18 |
17 |
$2K |
| 99442 |
|
53 |
42 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,095 |
1,014 |
$980.61 |
| 90700 |
|
465 |
437 |
$868.04 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$651.20 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,259 |
2,021 |
$524.37 |
| 90713 |
|
98 |
91 |
$524.10 |
| 90648 |
|
332 |
312 |
$410.03 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
273 |
134 |
$375.87 |
| 81000 |
|
1,252 |
1,161 |
$321.31 |
| 99441 |
|
23 |
18 |
$216.79 |
| 90461 |
|
717 |
364 |
$72.00 |
| 90680 |
|
13 |
13 |
$40.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
12 |
12 |
$0.00 |
| 36416 |
|
13 |
13 |
$0.00 |