| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,170 |
10,526 |
$818K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,412 |
2,670 |
$137K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,230 |
1,172 |
$80K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,272 |
1,147 |
$78K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,016 |
960 |
$70K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,740 |
2,437 |
$66K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,109 |
1,001 |
$62K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,214 |
2,905 |
$41K |
| 92551 |
|
3,553 |
3,331 |
$26K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,817 |
1,682 |
$21K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,482 |
2,631 |
$9K |
| 99173 |
|
4,038 |
3,634 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
311 |
259 |
$3K |
| 85018 |
|
1,689 |
1,318 |
$3K |
| 90473 |
|
282 |
251 |
$3K |
| 81002 |
|
1,132 |
864 |
$2K |
| 90474 |
|
171 |
153 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
13 |
$957.62 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
96 |
44 |
$955.66 |
| 99463 |
|
12 |
12 |
$752.04 |
| 90697 |
|
33 |
33 |
$0.00 |
| 90647 |
|
121 |
111 |
$0.00 |
| 90744 |
|
125 |
114 |
$0.00 |
| 90698 |
|
232 |
216 |
$0.00 |
| 90723 |
|
42 |
40 |
$0.00 |
| 90686 |
|
25 |
24 |
$0.00 |
| 90710 |
|
315 |
298 |
$0.00 |
| 90670 |
|
918 |
828 |
$0.00 |
| 90672 |
|
309 |
271 |
$0.00 |
| 90734 |
|
230 |
214 |
$0.00 |
| 90633 |
|
127 |
125 |
$0.00 |
| 90681 |
|
104 |
99 |
$0.00 |
| 90715 |
|
30 |
27 |
$0.00 |