| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,569 |
2,168 |
$161K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,291 |
2,008 |
$94K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,308 |
1,192 |
$49K |
| 96160 |
|
2,416 |
1,354 |
$40K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
436 |
376 |
$29K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,037 |
827 |
$29K |
| 99215 |
Prolong outpt/office vis |
299 |
242 |
$25K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
922 |
743 |
$24K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
367 |
295 |
$22K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
318 |
283 |
$21K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
258 |
223 |
$19K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
885 |
763 |
$15K |
| 96127 |
|
2,054 |
1,599 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
383 |
178 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
439 |
419 |
$5K |
| 92551 |
|
466 |
398 |
$3K |
| 99173 |
|
268 |
240 |
$2K |
| 69210 |
|
46 |
30 |
$2K |
| 99177 |
|
187 |
163 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
103 |
92 |
$1K |
| 94760 |
|
808 |
664 |
$973.17 |
| 94664 |
|
66 |
55 |
$851.47 |
| 90686 |
|
915 |
822 |
$595.73 |
| 85018 |
|
199 |
174 |
$474.80 |
| 36415 |
Collection of venous blood by venipuncture |
185 |
156 |
$403.83 |
| 90620 |
|
32 |
30 |
$358.32 |
| 36416 |
|
213 |
173 |
$354.03 |
| 90651 |
|
81 |
75 |
$272.88 |
| 81003 |
|
32 |
28 |
$54.59 |
| 90633 |
|
12 |
12 |
$0.00 |
| 90648 |
|
87 |
70 |
$0.00 |
| 90670 |
|
111 |
86 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 99072 |
|
348 |
265 |
$0.00 |
| 90685 |
|
25 |
25 |
$0.00 |
| 90734 |
|
15 |
15 |
$0.00 |
| 99000 |
|
634 |
567 |
$0.00 |
| 90723 |
|
13 |
13 |
$0.00 |