| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,167 |
10,949 |
$768K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,877 |
6,585 |
$234K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,439 |
5,617 |
$110K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,720 |
2,543 |
$103K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,694 |
1,666 |
$85K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,444 |
1,412 |
$73K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,464 |
1,449 |
$71K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,550 |
4,156 |
$56K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
369 |
361 |
$35K |
| 90461 |
|
1,930 |
1,787 |
$24K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
428 |
412 |
$21K |
| 90619 |
|
59 |
58 |
$9K |
| 90686 |
|
871 |
859 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
384 |
375 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
288 |
163 |
$2K |
| 90621 |
|
40 |
40 |
$2K |
| 90734 |
|
27 |
24 |
$2K |
| 90670 |
|
82 |
72 |
$2K |
| 90716 |
|
48 |
48 |
$1K |
| 90707 |
|
74 |
72 |
$1K |
| 90700 |
|
65 |
63 |
$381.09 |
| 90713 |
|
42 |
38 |
$309.92 |
| 36416 |
|
26 |
26 |
$260.00 |
| 90715 |
|
14 |
14 |
$209.64 |
| 90633 |
|
57 |
55 |
$178.93 |
| 90685 |
|
53 |
53 |
$57.33 |
| 90744 |
|
13 |
12 |
$27.36 |