| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,385 |
9,190 |
$730K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,703 |
3,469 |
$182K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,056 |
2,024 |
$155K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,808 |
1,783 |
$150K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,453 |
4,291 |
$122K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,501 |
1,349 |
$108K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,411 |
1,381 |
$108K |
| 92552 |
|
3,917 |
3,511 |
$44K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,742 |
1,370 |
$29K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,147 |
1,101 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
501 |
478 |
$16K |
| 96160 |
|
6,146 |
5,194 |
$15K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
174 |
169 |
$14K |
| 99177 |
|
624 |
615 |
$14K |
| 85014 |
|
5,208 |
5,062 |
$13K |
| 85018 |
|
5,465 |
5,079 |
$10K |
| 81002 |
|
3,116 |
2,957 |
$9K |
| 83655 |
|
959 |
874 |
$8K |
| 94760 |
|
10,990 |
8,852 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
241 |
164 |
$4K |
| 99381 |
|
45 |
44 |
$3K |
| 99173 |
|
3,383 |
2,904 |
$2K |
| 88738 |
|
273 |
223 |
$508.83 |
| 36416 |
|
5,542 |
4,618 |
$138.14 |
| 90686 |
|
853 |
684 |
$17.18 |
| 90681 |
|
101 |
96 |
$0.00 |
| 90670 |
|
864 |
781 |
$0.00 |
| 90734 |
|
365 |
301 |
$0.00 |
| 90710 |
|
230 |
213 |
$0.00 |
| 90633 |
|
195 |
174 |
$0.00 |
| 90715 |
|
72 |
57 |
$0.00 |
| 90648 |
|
50 |
48 |
$0.00 |
| 90685 |
|
75 |
66 |
$0.00 |
| 96127 |
|
50 |
38 |
$0.00 |
| 90723 |
|
634 |
570 |
$0.00 |
| 90647 |
|
759 |
671 |
$0.00 |
| 90651 |
|
750 |
637 |
$0.00 |
| 90696 |
|
15 |
12 |
$0.00 |
| 90688 |
|
161 |
138 |
$0.00 |