| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,080 |
2,815 |
$255K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,043 |
2,803 |
$245K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,397 |
2,356 |
$217K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,229 |
2,112 |
$138K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,455 |
6,197 |
$129K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,841 |
2,741 |
$56K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
102 |
89 |
$7K |
| 90474 |
|
616 |
573 |
$6K |
| 99177 |
|
1,309 |
1,259 |
$3K |
| 69210 |
|
66 |
63 |
$2K |
| 96161 |
|
713 |
662 |
$2K |
| 99383 |
|
14 |
14 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
17 |
17 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
82 |
79 |
$837.14 |
| 54450 |
|
14 |
12 |
$781.68 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
135 |
132 |
$776.52 |
| 94010 |
|
14 |
13 |
$585.90 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$414.45 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
18 |
18 |
$217.56 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
16 |
16 |
$202.02 |
| 92558 |
|
653 |
625 |
$127.84 |
| 90686 |
|
2,071 |
1,966 |
$17.52 |
| 90670 |
|
1,360 |
1,319 |
$0.00 |
| 90633 |
|
138 |
135 |
$0.00 |
| 90685 |
|
104 |
103 |
$0.00 |
| 90710 |
|
61 |
60 |
$0.00 |
| 3078F |
|
26 |
26 |
$0.00 |
| 90744 |
|
292 |
282 |
$0.00 |
| 90680 |
|
596 |
563 |
$0.00 |
| 90698 |
|
910 |
881 |
$0.00 |
| 3074F |
|
26 |
26 |
$0.00 |