| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,826 |
3,291 |
$266K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,804 |
3,189 |
$139K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,766 |
3,048 |
$128K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,568 |
1,406 |
$116K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,443 |
1,234 |
$103K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,147 |
1,031 |
$94K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,173 |
2,745 |
$91K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,027 |
866 |
$61K |
| 99205 |
Prolong outpt/office vis |
406 |
374 |
$51K |
| 92587 |
|
634 |
476 |
$22K |
| 92015 |
Determination of refractive state |
853 |
718 |
$19K |
| 85014 |
|
5,045 |
4,437 |
$14K |
| 81000 |
|
3,582 |
3,158 |
$13K |
| 94762 |
|
686 |
521 |
$13K |
| 99381 |
|
147 |
134 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
426 |
305 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
626 |
542 |
$8K |
| 92552 |
|
347 |
287 |
$7K |
| 92558 |
|
1,053 |
979 |
$6K |
| 96127 |
|
1,159 |
1,068 |
$5K |
| 92551 |
|
632 |
622 |
$5K |
| 99173 |
|
405 |
384 |
$4K |
| 92567 |
|
201 |
184 |
$3K |
| 99383 |
|
22 |
20 |
$2K |
| 90658 |
|
103 |
97 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$459.66 |
| 94760 |
|
152 |
139 |
$376.72 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
19 |
17 |
$221.40 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
19 |
13 |
$202.40 |
| 90633 |
|
691 |
624 |
$20.00 |
| 90680 |
|
497 |
446 |
$0.00 |
| 99000 |
|
1,128 |
974 |
$0.00 |
| 90723 |
|
550 |
499 |
$0.00 |
| 90696 |
|
159 |
152 |
$0.00 |
| 90716 |
|
583 |
536 |
$0.00 |
| 90698 |
|
224 |
206 |
$0.00 |
| 90620 |
|
30 |
29 |
$0.00 |
| 90670 |
|
1,254 |
1,073 |
$0.00 |
| 90648 |
|
620 |
565 |
$0.00 |
| 90734 |
|
419 |
383 |
$0.00 |
| 90707 |
|
557 |
514 |
$0.00 |
| 90649 |
|
522 |
483 |
$0.00 |
| 90700 |
|
27 |
26 |
$0.00 |
| 90461 |
|
126 |
115 |
$0.00 |
| 90710 |
|
30 |
29 |
$0.00 |
| 90715 |
|
185 |
169 |
$0.00 |