| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,320 |
3,262 |
$322K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,227 |
3,496 |
$197K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
794 |
611 |
$60K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,984 |
1,650 |
$38K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
518 |
431 |
$36K |
| 87428 |
|
485 |
452 |
$29K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
336 |
308 |
$25K |
| 99215 |
Prolong outpt/office vis |
298 |
232 |
$22K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
182 |
163 |
$15K |
| 90677 |
|
146 |
127 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
910 |
805 |
$14K |
| 90686 |
|
1,040 |
923 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
489 |
413 |
$8K |
| 90648 |
|
412 |
321 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
433 |
272 |
$5K |
| 90670 |
|
243 |
200 |
$4K |
| 90723 |
|
160 |
117 |
$2K |
| 90656 |
|
95 |
89 |
$2K |
| 90710 |
|
72 |
58 |
$1K |
| 90681 |
|
51 |
36 |
$852.72 |
| 90633 |
|
35 |
27 |
$589.21 |
| 90734 |
|
32 |
27 |
$534.72 |
| 87807 |
|
47 |
39 |
$448.02 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
382 |
228 |
$337.66 |
| 90651 |
|
13 |
13 |
$217.23 |
| 91321 |
|
13 |
13 |
$217.23 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
42 |
20 |
$85.66 |
| 85018 |
|
35 |
30 |
$77.77 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
31 |
27 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
19 |
19 |
$0.00 |