| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,840 |
6,276 |
$465K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,046 |
6,501 |
$324K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,289 |
4,044 |
$290K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,698 |
2,616 |
$192K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,448 |
1,421 |
$106K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,745 |
2,484 |
$93K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,032 |
1,885 |
$78K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,986 |
1,825 |
$46K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,930 |
3,462 |
$45K |
| 40819 |
|
163 |
111 |
$33K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
415 |
399 |
$32K |
| 41010 |
|
114 |
99 |
$11K |
| 41115 |
|
63 |
59 |
$8K |
| 90474 |
|
305 |
300 |
$4K |
| 99383 |
|
45 |
44 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
279 |
262 |
$3K |
| 99460 |
|
52 |
47 |
$3K |
| 92551 |
|
580 |
526 |
$3K |
| 90461 |
|
456 |
354 |
$3K |
| 99382 |
|
32 |
29 |
$2K |
| 99381 |
|
17 |
16 |
$1K |
| 87428 |
|
26 |
25 |
$1K |
| 92526 |
|
17 |
13 |
$1K |
| 90473 |
|
100 |
90 |
$1K |
| 99173 |
|
735 |
671 |
$816.72 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
68 |
38 |
$767.64 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
13 |
12 |
$751.92 |
| 99188 |
|
51 |
38 |
$689.93 |
| 96160 |
|
211 |
195 |
$620.39 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
13 |
$513.37 |
| 81002 |
|
179 |
161 |
$474.62 |
| 96161 |
|
162 |
144 |
$456.37 |
| 99000 |
|
251 |
217 |
$261.70 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
76 |
66 |
$233.40 |
| 90670 |
|
1,538 |
1,284 |
$183.01 |
| 92567 |
|
16 |
12 |
$140.40 |
| 83655 |
|
16 |
16 |
$80.60 |
| 90671 |
|
108 |
108 |
$57.54 |
| 82465 |
|
14 |
13 |
$46.80 |
| 90698 |
|
1,377 |
1,139 |
$35.51 |
| 85018 |
|
16 |
16 |
$22.64 |
| 36416 |
|
106 |
83 |
$7.00 |
| 90680 |
|
855 |
730 |
$0.38 |
| 90655 |
|
213 |
179 |
$0.00 |
| 90685 |
|
114 |
86 |
$0.00 |
| 90707 |
|
94 |
90 |
$0.00 |
| 90633 |
|
431 |
376 |
$0.00 |
| 90734 |
|
37 |
37 |
$0.00 |
| 90700 |
|
29 |
25 |
$0.00 |
| 90715 |
|
33 |
33 |
$0.00 |
| 90710 |
|
50 |
46 |
$0.00 |
| 90648 |
|
33 |
27 |
$0.00 |
| 90649 |
|
35 |
34 |
$0.00 |
| 90744 |
|
483 |
422 |
$0.00 |
| 90686 |
|
446 |
394 |
$0.00 |
| 90656 |
|
231 |
179 |
$0.00 |
| 90716 |
|
82 |
78 |
$0.00 |
| 90697 |
|
31 |
31 |
$0.00 |
| 90696 |
|
15 |
15 |
$0.00 |