| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,132 |
6,610 |
$647K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,755 |
9,057 |
$603K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,315 |
2,726 |
$197K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,794 |
2,532 |
$192K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
8,213 |
7,084 |
$100K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,544 |
4,110 |
$86K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,017 |
895 |
$69K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,891 |
5,306 |
$69K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,039 |
922 |
$66K |
| 92551 |
|
2,279 |
2,021 |
$25K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,788 |
1,537 |
$25K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
427 |
365 |
$20K |
| 90670 |
|
1,727 |
1,551 |
$19K |
| 99460 |
|
256 |
220 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
191 |
171 |
$14K |
| 99173 |
|
2,259 |
2,005 |
$14K |
| 90744 |
|
1,695 |
1,502 |
$10K |
| 90700 |
|
1,427 |
1,258 |
$10K |
| 90680 |
|
1,282 |
1,131 |
$9K |
| 90698 |
|
1,141 |
1,006 |
$7K |
| 90713 |
|
770 |
665 |
$7K |
| 90707 |
|
886 |
789 |
$6K |
| 90716 |
|
852 |
757 |
$6K |
| 99462 |
|
172 |
120 |
$5K |
| 90633 |
|
683 |
598 |
$4K |
| 99072 |
|
1,833 |
1,380 |
$4K |
| 90648 |
|
474 |
440 |
$2K |
| 90688 |
|
324 |
299 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
105 |
86 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
167 |
70 |
$1K |
| 90671 |
|
196 |
173 |
$1K |
| 90677 |
|
247 |
218 |
$920.33 |
| 90651 |
|
213 |
189 |
$919.99 |
| 90461 |
|
67 |
51 |
$896.06 |
| 90734 |
|
165 |
148 |
$670.57 |
| 90715 |
|
117 |
106 |
$593.01 |
| 90658 |
|
19 |
14 |
$330.06 |
| 99201 |
|
16 |
14 |
$300.63 |
| 90687 |
|
13 |
13 |
$289.63 |
| 87400 |
|
14 |
13 |
$224.56 |
| 85018 |
|
55 |
52 |
$121.54 |
| 4004F |
|
14 |
14 |
$0.00 |
| 3008F |
|
83 |
80 |
$0.00 |