| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,523 |
7,118 |
$609K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
6,583 |
6,546 |
$545K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,312 |
8,840 |
$509K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
9,932 |
9,839 |
$367K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,982 |
3,969 |
$366K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,426 |
4,388 |
$359K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,314 |
3,254 |
$250K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
567 |
82 |
$75K |
| 92552 |
|
8,371 |
8,111 |
$74K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
173 |
172 |
$38K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,003 |
736 |
$36K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,473 |
1,457 |
$26K |
| 99381 |
|
279 |
275 |
$23K |
| 96127 |
|
1,982 |
1,930 |
$11K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
405 |
399 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
722 |
659 |
$10K |
| 99460 |
|
136 |
135 |
$9K |
| 99173 |
|
8,401 |
8,133 |
$7K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
128 |
127 |
$7K |
| 99383 |
|
77 |
76 |
$7K |
| 95115 |
|
443 |
137 |
$4K |
| 99188 |
|
329 |
323 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
36 |
36 |
$3K |
| 87428 |
|
50 |
50 |
$3K |
| 95117 |
|
297 |
100 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
96 |
93 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
55 |
55 |
$886.64 |
| 69210 |
|
14 |
12 |
$495.55 |
| 99000 |
|
576 |
469 |
$402.05 |
| 81002 |
|
50 |
49 |
$159.76 |
| 92567 |
|
12 |
12 |
$154.79 |
| 90671 |
|
105 |
103 |
$0.17 |
| 90674 |
|
37 |
35 |
$0.04 |
| 90670 |
|
2,199 |
2,081 |
$0.03 |
| 90698 |
|
1,952 |
1,852 |
$0.01 |
| 90680 |
|
1,372 |
1,299 |
$0.01 |
| 90734 |
|
850 |
796 |
$0.00 |
| 90633 |
|
1,265 |
1,182 |
$0.00 |
| 90707 |
|
450 |
430 |
$0.00 |
| 90713 |
|
64 |
58 |
$0.00 |
| 90710 |
|
507 |
475 |
$0.00 |
| 90648 |
|
145 |
127 |
$0.00 |
| 90715 |
|
483 |
453 |
$0.00 |
| 90700 |
|
155 |
134 |
$0.00 |
| 90651 |
|
1,356 |
1,282 |
$0.00 |
| 90619 |
|
121 |
110 |
$0.00 |
| 90688 |
|
1,510 |
1,351 |
$0.00 |
| 90744 |
|
1,100 |
1,033 |
$0.00 |
| 90696 |
|
426 |
398 |
$0.00 |
| 90716 |
|
418 |
390 |
$0.00 |
| 90620 |
|
244 |
232 |
$0.00 |
| 90686 |
|
1,348 |
1,281 |
$0.00 |