| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,790 |
3,382 |
$305K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,029 |
1,002 |
$78K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,352 |
1,197 |
$71K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
600 |
549 |
$40K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
431 |
429 |
$33K |
| 90670 |
|
591 |
561 |
$30K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
310 |
304 |
$26K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,675 |
2,544 |
$11K |
| 90651 |
|
108 |
104 |
$8K |
| 90686 |
|
685 |
671 |
$8K |
| 90697 |
|
140 |
136 |
$5K |
| 90461 |
|
1,547 |
1,455 |
$4K |
| 90734 |
|
96 |
93 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
219 |
138 |
$3K |
| 90633 |
|
171 |
166 |
$3K |
| 90648 |
|
188 |
172 |
$2K |
| 92551 |
|
190 |
185 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
106 |
99 |
$1K |
| 90681 |
|
28 |
28 |
$1K |
| 90656 |
|
81 |
80 |
$1K |
| 83655 |
|
155 |
147 |
$1K |
| 90723 |
|
58 |
55 |
$936.95 |
| 90716 |
|
39 |
39 |
$827.38 |
| 90698 |
|
57 |
55 |
$751.31 |
| 90710 |
|
24 |
24 |
$715.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
302 |
292 |
$703.27 |
| 99173 |
|
186 |
182 |
$452.21 |
| 90715 |
|
13 |
13 |
$374.69 |
| 85018 |
|
168 |
160 |
$356.96 |
| 90707 |
|
13 |
13 |
$224.41 |
| 90700 |
|
13 |
13 |
$209.48 |
| 99050 |
|
15 |
12 |
$147.37 |
| 90696 |
|
13 |
13 |
$110.00 |
| 36416 |
|
192 |
183 |
$85.29 |
| 99000 |
|
28 |
27 |
$51.52 |
| 81003 |
|
14 |
12 |
$33.80 |
| 94760 |
|
12 |
12 |
$21.20 |