| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,010 |
9,230 |
$657K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,468 |
10,654 |
$474K |
| 87631 |
|
1,851 |
1,834 |
$261K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,405 |
1,396 |
$133K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,025 |
1,022 |
$89K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
678 |
675 |
$58K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,719 |
4,566 |
$50K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,924 |
1,893 |
$34K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
378 |
373 |
$32K |
| 99173 |
|
4,726 |
4,584 |
$28K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,210 |
3,120 |
$25K |
| 92552 |
|
1,709 |
1,701 |
$16K |
| 99188 |
|
712 |
707 |
$15K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,502 |
1,268 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
868 |
419 |
$12K |
| 96127 |
|
776 |
760 |
$3K |
| 90651 |
|
175 |
172 |
$3K |
| 96160 |
|
659 |
654 |
$2K |
| 90686 |
|
1,691 |
1,663 |
$2K |
| 90474 |
|
203 |
203 |
$2K |
| 83655 |
|
186 |
186 |
$2K |
| 99051 |
|
56 |
54 |
$618.75 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
13 |
$455.00 |
| 83718 |
|
41 |
40 |
$330.48 |
| 82465 |
|
41 |
40 |
$282.35 |
| 90670 |
|
873 |
870 |
$200.00 |
| 90698 |
|
593 |
593 |
$140.00 |
| 90680 |
|
505 |
501 |
$110.00 |
| 90744 |
|
87 |
87 |
$100.00 |
| 86580 |
|
16 |
14 |
$96.32 |
| 85018 |
|
13 |
13 |
$52.52 |
| 90619 |
|
149 |
147 |
$50.72 |
| 92551 |
|
28 |
28 |
$17.81 |
| 90677 |
|
297 |
290 |
$0.00 |
| 90697 |
|
270 |
265 |
$0.00 |
| 90656 |
|
188 |
188 |
$0.00 |
| 90696 |
|
17 |
17 |
$0.00 |
| 96161 |
|
16 |
16 |
$0.00 |
| 90381 |
|
15 |
15 |
$0.00 |
| 90633 |
|
209 |
206 |
$0.00 |
| 90715 |
|
22 |
22 |
$0.00 |
| 90710 |
|
17 |
17 |
$0.00 |