| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,617 |
2,981 |
$230K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,003 |
1,732 |
$120K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,994 |
1,708 |
$111K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,177 |
3,520 |
$106K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,402 |
3,612 |
$52K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,154 |
1,002 |
$52K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,868 |
2,514 |
$43K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
709 |
484 |
$33K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,054 |
2,872 |
$25K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
134 |
124 |
$9K |
| 87428 |
|
406 |
351 |
$9K |
| 92551 |
|
1,141 |
1,025 |
$8K |
| 83655 |
|
767 |
544 |
$6K |
| 90474 |
|
612 |
516 |
$5K |
| 85018 |
|
2,087 |
1,624 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
335 |
262 |
$3K |
| 99173 |
|
2,246 |
1,809 |
$3K |
| 96161 |
|
997 |
746 |
$3K |
| 85014 |
|
1,706 |
1,377 |
$3K |
| 97802 |
|
1,821 |
1,156 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
194 |
123 |
$2K |
| 96160 |
|
2,171 |
1,621 |
$2K |
| 99383 |
|
28 |
27 |
$2K |
| 99381 |
|
28 |
26 |
$2K |
| 87807 |
|
134 |
127 |
$2K |
| 90677 |
|
46 |
31 |
$1K |
| 0071A |
|
18 |
18 |
$789.74 |
| 90671 |
|
336 |
246 |
$732.83 |
| 99051 |
|
47 |
29 |
$405.98 |
| 96127 |
|
247 |
169 |
$270.94 |
| 90661 |
|
46 |
27 |
$90.00 |
| 90674 |
|
321 |
272 |
$28.13 |
| 90686 |
|
722 |
579 |
$19.58 |
| 90633 |
|
598 |
519 |
$0.72 |
| 90651 |
|
41 |
31 |
$0.07 |
| 90696 |
|
52 |
42 |
$0.00 |
| 90698 |
|
762 |
656 |
$0.00 |
| 90680 |
|
739 |
624 |
$0.00 |
| 90744 |
|
442 |
377 |
$0.00 |
| 91307 |
|
43 |
33 |
$0.00 |
| 90716 |
|
82 |
70 |
$0.00 |
| 90697 |
|
243 |
170 |
$0.00 |
| 90670 |
|
1,155 |
993 |
$0.00 |
| 90707 |
|
107 |
94 |
$0.00 |
| 90734 |
|
14 |
14 |
$0.00 |
| 90685 |
|
56 |
44 |
$0.00 |
| 90648 |
|
15 |
15 |
$0.00 |
| 90710 |
|
50 |
46 |
$0.00 |
| 90461 |
|
18 |
14 |
$0.00 |
| 90700 |
|
39 |
37 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
49 |
19 |
$0.00 |