| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,952 |
7,258 |
$639K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,812 |
7,121 |
$455K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,101 |
3,939 |
$314K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,333 |
3,226 |
$255K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,253 |
2,862 |
$231K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
965 |
930 |
$79K |
| 90670 |
|
2,047 |
1,950 |
$55K |
| 90698 |
|
1,850 |
1,775 |
$35K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
10,643 |
10,085 |
$28K |
| 90651 |
|
661 |
626 |
$28K |
| 90677 |
|
235 |
219 |
$21K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,726 |
1,559 |
$20K |
| 99174 |
|
3,910 |
3,754 |
$18K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,355 |
591 |
$15K |
| 90686 |
|
1,316 |
1,259 |
$15K |
| 90461 |
|
5,730 |
5,418 |
$13K |
| 90619 |
|
157 |
152 |
$11K |
| 90716 |
|
408 |
396 |
$10K |
| 90633 |
|
713 |
694 |
$9K |
| 90707 |
|
465 |
441 |
$9K |
| 90680 |
|
421 |
409 |
$8K |
| 96127 |
|
1,287 |
1,227 |
$6K |
| 99000 |
|
1,499 |
1,405 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
59 |
54 |
$3K |
| 0072A |
|
80 |
63 |
$3K |
| 0071A |
|
68 |
66 |
$3K |
| 99460 |
|
36 |
30 |
$2K |
| 99072 |
|
2,611 |
2,426 |
$2K |
| 90744 |
|
169 |
156 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
168 |
162 |
$1K |
| 90656 |
|
99 |
96 |
$1K |
| 90685 |
|
104 |
92 |
$1K |
| 90621 |
|
13 |
13 |
$756.59 |
| 90715 |
|
31 |
29 |
$468.74 |
| 90734 |
|
17 |
14 |
$409.38 |
| 90700 |
|
28 |
27 |
$299.20 |
| 36416 |
|
489 |
445 |
$287.56 |
| 90648 |
|
12 |
12 |
$132.08 |
| 90713 |
|
12 |
12 |
$122.10 |
| 91307 |
|
156 |
132 |
$0.00 |