| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
31,766 |
24,700 |
$3.17M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,152 |
12,525 |
$999K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,597 |
1,597 |
$227K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
833 |
833 |
$77K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,620 |
1,614 |
$67K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
489 |
488 |
$49K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,043 |
1,036 |
$48K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
461 |
461 |
$43K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
398 |
398 |
$36K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,010 |
996 |
$29K |
| 36415 |
Collection of venous blood by venipuncture |
4,028 |
3,929 |
$20K |
| 99215 |
Prolong outpt/office vis |
143 |
137 |
$20K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,073 |
1,060 |
$16K |
| 99406 |
|
805 |
693 |
$11K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
972 |
970 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
159 |
152 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
57 |
54 |
$5K |
| 99384 |
|
14 |
14 |
$2K |
| 99383 |
|
12 |
12 |
$1K |
| 90674 |
|
43 |
43 |
$1K |
| 99408 |
|
17 |
17 |
$549.10 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
27 |
26 |
$367.08 |
| 99423 |
|
18 |
17 |
$252.88 |
| 90656 |
|
18 |
18 |
$83.72 |
| 96127 |
|
12 |
12 |
$48.00 |
| 90686 |
|
198 |
198 |
$19.22 |
| 96160 |
|
762 |
761 |
$6.25 |
| 90713 |
|
121 |
121 |
$0.00 |
| 90670 |
|
43 |
43 |
$0.00 |
| 90707 |
|
18 |
18 |
$0.00 |
| 90700 |
|
194 |
194 |
$0.00 |
| 90734 |
|
28 |
28 |
$0.00 |
| 90648 |
|
26 |
26 |
$0.00 |
| 90715 |
|
13 |
13 |
$0.00 |
| 90716 |
|
17 |
17 |
$0.00 |
| 90651 |
|
50 |
50 |
$0.00 |