| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,492 |
3,912 |
$403K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,338 |
2,278 |
$101K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,265 |
958 |
$81K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,614 |
1,003 |
$80K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,228 |
978 |
$60K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
659 |
535 |
$51K |
| 99215 |
Prolong outpt/office vis |
482 |
341 |
$46K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,854 |
2,111 |
$17K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
141 |
134 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
520 |
372 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
199 |
171 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
339 |
218 |
$2K |
| 90670 |
|
800 |
583 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
203 |
140 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
24 |
17 |
$407.32 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
24 |
17 |
$400.18 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
29 |
25 |
$370.51 |
| 90707 |
|
66 |
52 |
$212.76 |
| 90723 |
|
399 |
289 |
$183.18 |
| 90716 |
|
32 |
27 |
$120.00 |
| 90686 |
|
222 |
206 |
$21.57 |
| 90648 |
|
305 |
227 |
$12.51 |
| 36416 |
|
76 |
57 |
$5.60 |
| 90647 |
|
20 |
15 |
$0.00 |
| 90680 |
|
27 |
27 |
$0.00 |
| 90734 |
|
19 |
18 |
$0.00 |
| 90700 |
|
16 |
13 |
$0.00 |
| 90633 |
|
90 |
66 |
$0.00 |
| 90649 |
|
12 |
12 |
$0.00 |
| 99173 |
|
13 |
12 |
$0.00 |