| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,919 |
1,725 |
$131K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,578 |
1,383 |
$71K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,133 |
965 |
$51K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
494 |
452 |
$36K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
447 |
390 |
$30K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
318 |
273 |
$23K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
795 |
559 |
$22K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
253 |
229 |
$20K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
343 |
314 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
706 |
632 |
$8K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
780 |
640 |
$6K |
| 92551 |
|
660 |
545 |
$5K |
| 96161 |
|
263 |
210 |
$5K |
| 99177 |
|
701 |
591 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
365 |
332 |
$4K |
| 96127 |
|
491 |
363 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
159 |
158 |
$2K |
| 36416 |
|
864 |
692 |
$1K |
| 90670 |
|
222 |
179 |
$1K |
| 87081 |
|
608 |
539 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
16 |
13 |
$1K |
| 87807 |
|
91 |
82 |
$973.47 |
| 81001 |
|
214 |
176 |
$625.49 |
| 90686 |
|
452 |
413 |
$422.75 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$313.62 |
| 82947 |
|
38 |
24 |
$131.92 |
| 82465 |
|
73 |
54 |
$124.48 |
| 90633 |
|
63 |
54 |
$42.42 |
| 90688 |
|
63 |
55 |
$0.00 |
| 90723 |
|
89 |
66 |
$0.00 |
| 90647 |
|
32 |
28 |
$0.00 |
| 90680 |
|
34 |
26 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| 90648 |
|
116 |
107 |
$0.00 |