| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,370 |
6,570 |
$413K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,876 |
7,338 |
$320K |
| 92567 |
|
7,967 |
6,825 |
$98K |
| 99215 |
Prolong outpt/office vis |
1,099 |
997 |
$88K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,050 |
3,838 |
$71K |
| 92587 |
|
2,496 |
2,361 |
$68K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,993 |
2,845 |
$61K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
827 |
795 |
$42K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
623 |
607 |
$36K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,308 |
2,115 |
$33K |
| 81002 |
|
4,789 |
4,399 |
$14K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
935 |
451 |
$13K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
218 |
211 |
$11K |
| 88738 |
|
1,369 |
1,319 |
$6K |
| 99173 |
|
2,194 |
2,101 |
$5K |
| 85018 |
|
1,772 |
1,684 |
$5K |
| 90686 |
|
917 |
890 |
$5K |
| 99050 |
|
258 |
248 |
$4K |
| 85014 |
|
1,386 |
1,321 |
$4K |
| 90651 |
|
97 |
93 |
$3K |
| 99188 |
|
369 |
356 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
90 |
76 |
$2K |
| 99441 |
|
63 |
61 |
$2K |
| 36416 |
|
513 |
474 |
$2K |
| 99384 |
|
45 |
45 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
95 |
87 |
$1K |
| 99383 |
|
36 |
36 |
$1K |
| 81025 |
|
110 |
103 |
$742.56 |
| 90707 |
|
55 |
52 |
$590.64 |
| 90734 |
|
27 |
27 |
$583.93 |
| 90658 |
|
368 |
335 |
$575.97 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$440.86 |
| 86308 |
|
71 |
63 |
$431.03 |
| 87807 |
|
31 |
30 |
$414.91 |
| 90715 |
|
33 |
31 |
$392.92 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
69 |
69 |
$319.00 |
| 92015 |
Determination of refractive state |
16 |
16 |
$302.26 |
| 94760 |
|
414 |
358 |
$292.00 |
| 69210 |
|
25 |
24 |
$132.96 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
28 |
28 |
$112.78 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
14 |
12 |
$112.59 |
| 90461 |
|
481 |
439 |
$50.00 |
| 90670 |
|
56 |
53 |
$45.45 |
| 94150 |
|
33 |
25 |
$34.28 |
| 90716 |
|
27 |
25 |
$25.75 |
| 90647 |
|
27 |
25 |
$20.00 |
| 90655 |
|
32 |
29 |
$15.15 |
| 99058 |
|
701 |
629 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |