| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,025 |
6,562 |
$411K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,073 |
8,320 |
$354K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,034 |
5,139 |
$125K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,173 |
1,990 |
$103K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,718 |
1,641 |
$91K |
| 90670 |
|
958 |
912 |
$62K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
810 |
774 |
$44K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
507 |
491 |
$30K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,326 |
4,120 |
$28K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,183 |
2,029 |
$22K |
| 92587 |
|
578 |
553 |
$9K |
| 90633 |
|
262 |
256 |
$7K |
| 90698 |
|
447 |
428 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
488 |
456 |
$5K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
165 |
151 |
$5K |
| 90686 |
|
569 |
554 |
$5K |
| 90671 |
|
245 |
225 |
$4K |
| 36416 |
|
933 |
885 |
$2K |
| 90680 |
|
602 |
568 |
$2K |
| 99177 |
|
266 |
256 |
$2K |
| 99460 |
|
27 |
25 |
$2K |
| 85018 |
|
916 |
878 |
$2K |
| 90734 |
|
30 |
30 |
$1K |
| 90474 |
|
145 |
143 |
$914.80 |
| 81002 |
|
383 |
349 |
$824.15 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
12 |
12 |
$541.95 |
| 90744 |
|
163 |
155 |
$523.45 |
| 96127 |
|
93 |
91 |
$356.54 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
13 |
12 |
$296.59 |
| 90461 |
|
2,103 |
1,980 |
$50.00 |
| 90685 |
|
34 |
31 |
$46.35 |
| 90697 |
|
59 |
58 |
$20.00 |
| 99072 |
|
3,010 |
2,786 |
$3.60 |
| 90710 |
|
16 |
14 |
$0.00 |
| 99000 |
|
449 |
435 |
$0.00 |
| 90656 |
|
15 |
14 |
$0.00 |
| 90619 |
|
18 |
12 |
$0.00 |