| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,264 |
6,250 |
$734K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,001 |
9,197 |
$676K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,262 |
3,169 |
$484K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,447 |
3,295 |
$469K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,419 |
1,367 |
$203K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
542 |
528 |
$115K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,391 |
6,169 |
$77K |
| 90461 |
|
2,885 |
2,764 |
$21K |
| 90670 |
|
1,626 |
1,578 |
$9K |
| 90686 |
|
1,495 |
1,448 |
$3K |
| 97802 |
|
2,473 |
2,361 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
741 |
714 |
$2K |
| 99442 |
|
43 |
39 |
$2K |
| 90716 |
|
506 |
488 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
311 |
177 |
$1K |
| 85018 |
|
4,130 |
3,932 |
$1K |
| 81002 |
|
2,829 |
2,671 |
$918.18 |
| 90707 |
|
477 |
448 |
$816.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
467 |
428 |
$783.75 |
| 90677 |
|
384 |
372 |
$777.30 |
| 90698 |
|
749 |
729 |
$733.80 |
| 90680 |
|
860 |
839 |
$725.65 |
| 90633 |
|
702 |
688 |
$550.02 |
| 0071A |
|
18 |
15 |
$516.49 |
| 90685 |
|
160 |
156 |
$423.63 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
366 |
339 |
$406.29 |
| 90651 |
|
29 |
26 |
$404.28 |
| 90648 |
|
717 |
698 |
$391.94 |
| 0072A |
|
14 |
14 |
$357.66 |
| 92551 |
|
2,203 |
2,054 |
$284.62 |
| 90744 |
|
804 |
775 |
$247.77 |
| 90700 |
|
646 |
627 |
$203.40 |
| 94667 |
|
13 |
12 |
$199.95 |
| 90656 |
|
57 |
56 |
$175.01 |
| 93000 |
|
232 |
227 |
$144.62 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
94 |
92 |
$126.50 |
| 90655 |
|
76 |
69 |
$101.50 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
15 |
14 |
$90.93 |
| 99173 |
|
2,236 |
2,089 |
$79.11 |
| 90473 |
|
17 |
15 |
$72.03 |
| 99050 |
|
100 |
99 |
$70.51 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
181 |
177 |
$34.50 |
| 96127 |
|
361 |
335 |
$10.10 |
| 36416 |
|
2,631 |
2,457 |
$8.57 |
| 90681 |
|
176 |
174 |
$0.00 |
| 90713 |
|
107 |
106 |
$0.00 |
| 83655 |
|
26 |
26 |
$0.00 |
| 90734 |
|
28 |
27 |
$0.00 |
| 90715 |
|
28 |
28 |
$0.00 |
| 90672 |
|
16 |
14 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
2,193 |
2,040 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
38 |
38 |
$0.00 |
| 91307 |
|
32 |
27 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
16 |
12 |
$0.00 |