| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,780 |
2,552 |
$223K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,799 |
2,513 |
$153K |
| 99215 |
Prolong outpt/office vis |
830 |
699 |
$86K |
| 90837 |
Psychotherapy, 53 minutes with patient |
853 |
580 |
$65K |
| 99354 |
|
637 |
528 |
$52K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
770 |
718 |
$31K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
415 |
388 |
$30K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
355 |
332 |
$26K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
358 |
343 |
$26K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,294 |
1,204 |
$24K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,155 |
1,097 |
$16K |
| 96127 |
|
2,337 |
1,738 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
628 |
486 |
$9K |
| 99050 |
|
381 |
329 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,137 |
1,084 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
100 |
85 |
$6K |
| D0145 |
Oral evaluation for a patient under three years of age |
189 |
181 |
$6K |
| 90834 |
Psychotherapy, 45 minutes with patient |
50 |
42 |
$3K |
| D1206 |
Topical application of fluoride varnish |
221 |
207 |
$3K |
| 92551 |
|
1,174 |
1,090 |
$2K |
| 99406 |
|
246 |
228 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
108 |
91 |
$1K |
| 90473 |
|
271 |
252 |
$1K |
| 87807 |
|
86 |
80 |
$1K |
| 99051 |
|
45 |
40 |
$1K |
| 90686 |
|
314 |
298 |
$446.85 |
| 96160 |
|
128 |
114 |
$441.32 |
| 96161 |
|
32 |
30 |
$108.46 |
| 90715 |
|
14 |
12 |
$43.25 |
| 81003 |
|
13 |
13 |
$36.01 |
| 36415 |
Collection of venous blood by venipuncture |
15 |
12 |
$27.00 |
| 99173 |
|
1,270 |
1,181 |
$11.00 |
| 94760 |
|
526 |
506 |
$10.35 |
| 90680 |
|
179 |
171 |
$0.00 |
| 90744 |
|
71 |
66 |
$0.00 |
| 90647 |
|
193 |
188 |
$0.00 |
| 90660 |
|
34 |
34 |
$0.00 |
| 36416 |
|
13 |
13 |
$0.00 |
| 90670 |
|
361 |
341 |
$0.00 |
| 90713 |
|
73 |
68 |
$0.00 |
| 90700 |
|
187 |
176 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 90633 |
|
49 |
41 |
$0.00 |
| 90734 |
|
16 |
14 |
$0.00 |