| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,568 |
4,932 |
$348K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,525 |
4,494 |
$204K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,196 |
1,145 |
$104K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,003 |
972 |
$96K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,049 |
1,011 |
$85K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,909 |
3,027 |
$60K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
509 |
506 |
$30K |
| 99460 |
|
360 |
360 |
$28K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
350 |
313 |
$26K |
| 99000 |
|
1,314 |
1,214 |
$13K |
| 99443 |
|
186 |
162 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
230 |
216 |
$6K |
| 90461 |
|
839 |
645 |
$4K |
| 99462 |
|
113 |
109 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
888 |
822 |
$4K |
| 92551 |
|
329 |
318 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
16 |
16 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
66 |
33 |
$934.08 |
| 94010 |
|
47 |
37 |
$893.61 |
| 96160 |
|
531 |
502 |
$607.45 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
30 |
30 |
$452.84 |
| 97169 |
|
15 |
15 |
$360.00 |
| 90658 |
|
958 |
900 |
$330.00 |
| 94760 |
|
904 |
834 |
$179.70 |
| 97170 |
|
39 |
39 |
$90.00 |
| 90620 |
|
177 |
167 |
$4.00 |
| 90651 |
|
102 |
96 |
$2.00 |
| 90619 |
|
20 |
20 |
$1.00 |
| 99173 |
|
370 |
361 |
$0.00 |
| 90670 |
|
141 |
136 |
$0.00 |
| 90633 |
|
58 |
56 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 90734 |
|
18 |
18 |
$0.00 |
| 90649 |
|
13 |
13 |
$0.00 |
| 2000F |
|
321 |
312 |
$0.00 |
| 90657 |
|
12 |
12 |
$0.00 |
| 96161 |
|
26 |
24 |
$0.00 |