| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,767 |
7,812 |
$656K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,810 |
5,878 |
$320K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,508 |
5,194 |
$230K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,698 |
1,772 |
$165K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,244 |
1,621 |
$138K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,982 |
1,271 |
$135K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
6,391 |
4,397 |
$127K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,140 |
1,633 |
$120K |
| 92583 |
|
2,696 |
1,783 |
$73K |
| 99460 |
|
1,424 |
1,217 |
$66K |
| 96160 |
|
5,612 |
3,579 |
$62K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,512 |
1,836 |
$62K |
| 92567 |
|
4,545 |
3,094 |
$53K |
| 92552 |
|
3,151 |
1,960 |
$47K |
| 96127 |
|
9,541 |
5,333 |
$42K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
647 |
543 |
$39K |
| 86328 |
|
987 |
821 |
$37K |
| 36410 |
|
2,900 |
1,658 |
$28K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,247 |
1,738 |
$20K |
| 99215 |
Prolong outpt/office vis |
234 |
164 |
$19K |
| 96161 |
|
1,429 |
1,070 |
$18K |
| 88738 |
|
3,828 |
2,633 |
$16K |
| 99173 |
|
4,267 |
2,694 |
$15K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
311 |
284 |
$15K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
171 |
112 |
$15K |
| 90671 |
|
148 |
111 |
$15K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,125 |
664 |
$14K |
| 99177 |
|
834 |
621 |
$7K |
| 99462 |
|
271 |
197 |
$6K |
| 82272 |
|
2,524 |
1,764 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
97 |
71 |
$6K |
| 93000 |
|
376 |
267 |
$6K |
| 81003 |
|
2,479 |
1,757 |
$5K |
| 81002 |
|
3,991 |
2,472 |
$5K |
| 90651 |
|
509 |
289 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
2,871 |
1,840 |
$4K |
| 85018 |
|
2,603 |
1,567 |
$4K |
| 90672 |
|
953 |
634 |
$3K |
| 90686 |
|
1,476 |
963 |
$3K |
| 90619 |
|
91 |
51 |
$2K |
| 87807 |
|
109 |
86 |
$1K |
| 90670 |
|
918 |
721 |
$930.00 |
| 92015 |
Determination of refractive state |
26 |
20 |
$881.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
47 |
39 |
$815.14 |
| 94060 |
|
18 |
14 |
$708.22 |
| 90656 |
|
69 |
39 |
$401.52 |
| 90621 |
|
23 |
12 |
$380.00 |
| 90716 |
|
154 |
106 |
$240.00 |
| 90734 |
|
193 |
111 |
$210.00 |
| 90707 |
|
153 |
105 |
$177.65 |
| 80305 |
|
15 |
12 |
$96.96 |
| S8110 |
Peak expiratory flow rate (physician services) |
18 |
16 |
$96.00 |
| 90744 |
|
209 |
147 |
$93.22 |
| 90633 |
|
139 |
88 |
$35.04 |
| 94760 |
|
101 |
68 |
$31.85 |
| 90700 |
|
20 |
14 |
$20.00 |
| 90685 |
|
13 |
13 |
$0.00 |
| 90698 |
|
372 |
287 |
$0.00 |
| 90680 |
|
207 |
163 |
$0.00 |
| 3008F |
|
112 |
81 |
$0.00 |