| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,570 |
4,934 |
$257K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,124 |
6,273 |
$214K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,045 |
1,918 |
$160K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,678 |
1,544 |
$137K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,443 |
1,343 |
$124K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,229 |
1,142 |
$95K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,850 |
5,261 |
$67K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,191 |
2,004 |
$37K |
| 92552 |
|
2,618 |
2,399 |
$21K |
| 90670 |
|
966 |
910 |
$4K |
| 90686 |
|
2,188 |
2,068 |
$3K |
| 81025 |
|
726 |
647 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
539 |
511 |
$1K |
| 90651 |
|
884 |
796 |
$1K |
| 90461 |
|
228 |
198 |
$840.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
184 |
155 |
$456.78 |
| 90620 |
|
733 |
693 |
$420.50 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
34 |
34 |
$292.03 |
| 97802 |
|
5,033 |
4,676 |
$262.47 |
| 85018 |
|
218 |
202 |
$128.34 |
| 90633 |
|
355 |
298 |
$80.00 |
| 90710 |
|
193 |
159 |
$61.20 |
| 90734 |
|
202 |
196 |
$30.00 |
| 99173 |
|
3,602 |
2,905 |
$24.87 |
| 90648 |
|
562 |
521 |
$21.56 |
| 90671 |
|
37 |
20 |
$10.00 |
| 96160 |
|
694 |
637 |
$0.00 |
| 90715 |
|
93 |
91 |
$0.00 |
| 90680 |
|
435 |
416 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
5,579 |
4,477 |
$0.00 |
| 90723 |
|
176 |
172 |
$0.00 |
| 92551 |
|
246 |
223 |
$0.00 |
| 90698 |
|
169 |
144 |
$0.00 |
| 90744 |
|
23 |
23 |
$0.00 |
| 90619 |
|
54 |
36 |
$0.00 |