| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,208 |
4,906 |
$315K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,728 |
5,392 |
$227K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,277 |
5,452 |
$161K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,531 |
1,497 |
$84K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,243 |
1,220 |
$65K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,314 |
1,276 |
$65K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
750 |
742 |
$44K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,716 |
2,587 |
$31K |
| 90633 |
|
1,273 |
1,246 |
$28K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
496 |
484 |
$12K |
| 90670 |
|
1,094 |
1,072 |
$7K |
| 90686 |
|
1,013 |
997 |
$4K |
| 99401 |
|
147 |
145 |
$4K |
| 36416 |
|
1,021 |
1,005 |
$3K |
| 81002 |
|
873 |
855 |
$2K |
| 90648 |
|
1,143 |
1,118 |
$2K |
| 92551 |
|
279 |
270 |
$2K |
| 85018 |
|
924 |
912 |
$2K |
| 90716 |
|
147 |
143 |
$2K |
| 90707 |
|
145 |
141 |
$903.70 |
| 90474 |
|
105 |
105 |
$696.68 |
| 90723 |
|
635 |
621 |
$582.29 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
28 |
28 |
$567.02 |
| 90473 |
|
81 |
78 |
$540.00 |
| 99173 |
|
176 |
170 |
$396.60 |
| 90734 |
|
61 |
60 |
$200.88 |
| 90681 |
|
106 |
105 |
$120.00 |
| 90685 |
|
111 |
100 |
$90.00 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
355 |
334 |
$37.01 |
| 90651 |
|
40 |
40 |
$15.00 |
| 90700 |
|
12 |
12 |
$10.01 |
| 90672 |
|
73 |
70 |
$10.00 |
| 90696 |
|
14 |
13 |
$0.00 |
| 90619 |
|
57 |
56 |
$0.00 |
| 90656 |
|
13 |
13 |
$0.00 |