| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,191 |
5,209 |
$386K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,327 |
2,018 |
$151K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,153 |
1,914 |
$129K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,210 |
1,071 |
$73K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,739 |
2,215 |
$63K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,034 |
4,057 |
$57K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
665 |
581 |
$37K |
| 92551 |
|
5,152 |
4,494 |
$32K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,566 |
2,203 |
$30K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
268 |
214 |
$23K |
| 99215 |
Prolong outpt/office vis |
227 |
195 |
$18K |
| 99173 |
|
5,349 |
4,549 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
167 |
112 |
$6K |
| 0001A |
|
131 |
64 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
95 |
70 |
$1K |
| 94760 |
|
1,655 |
1,304 |
$964.65 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
86 |
70 |
$570.00 |
| 99050 |
|
68 |
34 |
$454.86 |
| 90474 |
|
37 |
36 |
$310.42 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
12 |
$144.43 |
| 83655 |
|
27 |
16 |
$12.04 |
| 90686 |
|
1,279 |
1,079 |
$10.00 |
| 91321 |
|
34 |
30 |
$10.00 |
| 90671 |
|
44 |
40 |
$0.01 |
| 3008F |
|
399 |
278 |
$0.00 |
| 90620 |
|
283 |
229 |
$0.00 |
| 90619 |
|
81 |
64 |
$0.00 |
| 90723 |
|
14 |
13 |
$0.00 |
| 91307 |
|
201 |
51 |
$0.00 |
| 36416 |
|
27 |
17 |
$0.00 |
| 90633 |
|
642 |
560 |
$0.00 |
| 90649 |
|
667 |
540 |
$0.00 |
| 99080 |
|
109 |
89 |
$0.00 |
| 90734 |
|
154 |
139 |
$0.00 |
| 90670 |
|
344 |
285 |
$0.00 |
| 91320 |
|
20 |
17 |
$0.00 |
| 99401 |
|
292 |
278 |
$0.00 |
| 91300 |
|
181 |
76 |
$0.00 |
| 90710 |
|
36 |
31 |
$0.00 |
| 90681 |
|
50 |
48 |
$0.00 |
| 99354 |
|
38 |
34 |
$0.00 |
| 91311 |
|
20 |
13 |
$0.00 |
| 90715 |
|
20 |
14 |
$0.00 |
| 99160 |
|
13 |
13 |
$0.00 |
| 90648 |
|
14 |
13 |
$0.00 |