| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,111 |
6,459 |
$53K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
496 |
472 |
$18K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,049 |
1,045 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,209 |
1,206 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
930 |
926 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
988 |
967 |
$2K |
| 92551 |
|
2,771 |
2,769 |
$2K |
| 90686 |
|
1,901 |
1,889 |
$903.57 |
| 85018 |
|
3,858 |
3,822 |
$462.94 |
| 90651 |
|
170 |
170 |
$146.41 |
| 90698 |
|
91 |
90 |
$117.00 |
| 90670 |
|
98 |
98 |
$99.00 |
| 96127 |
|
338 |
337 |
$66.64 |
| 81000 |
|
297 |
294 |
$65.79 |
| 90685 |
|
175 |
174 |
$59.60 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,169 |
3,428 |
$48.48 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
51 |
51 |
$40.00 |
| 0001A |
|
26 |
26 |
$40.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
159 |
157 |
$27.65 |
| 90633 |
|
43 |
41 |
$27.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
328 |
234 |
$17.68 |
| 90716 |
|
38 |
38 |
$9.00 |
| 90734 |
|
95 |
95 |
$9.00 |
| 90707 |
|
27 |
27 |
$9.00 |
| 99174 |
|
1,047 |
1,046 |
$0.00 |
| 36416 |
|
19 |
19 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |
| 90461 |
|
528 |
440 |
$0.00 |
| 99173 |
|
2,060 |
2,058 |
$0.00 |
| 91300 |
|
113 |
98 |
$0.00 |
| 0002A |
|
35 |
34 |
$0.00 |
| 80061 |
Lipid panel |
13 |
13 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
96 |
70 |
$0.00 |
| 90715 |
|
13 |
13 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
14 |
$0.00 |
| 82465 |
|
12 |
12 |
$0.00 |