| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,065 |
6,541 |
$659K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,865 |
3,070 |
$235K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
974 |
947 |
$72K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,019 |
882 |
$68K |
| 94010 |
|
2,269 |
2,026 |
$58K |
| 94060 |
|
673 |
588 |
$43K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,791 |
3,570 |
$37K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
476 |
466 |
$36K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,245 |
2,136 |
$33K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,372 |
1,300 |
$31K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
145 |
133 |
$28K |
| 92551 |
|
1,451 |
1,402 |
$16K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
137 |
130 |
$16K |
| 99215 |
Prolong outpt/office vis |
112 |
105 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
111 |
110 |
$9K |
| 99173 |
|
1,583 |
1,529 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
143 |
136 |
$5K |
| 94016 |
|
168 |
140 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
151 |
70 |
$2K |
| 90658 |
|
70 |
70 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
73 |
66 |
$1K |
| 90686 |
|
94 |
91 |
$928.85 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
13 |
13 |
$902.28 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
19 |
19 |
$544.57 |
| 90633 |
|
88 |
80 |
$468.94 |
| 90670 |
|
455 |
428 |
$455.30 |
| 90648 |
|
73 |
68 |
$293.30 |
| 90680 |
|
221 |
209 |
$88.00 |
| 90756 |
|
18 |
18 |
$0.00 |
| 90723 |
|
14 |
14 |
$0.00 |