| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,014 |
5,534 |
$529K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,131 |
1,897 |
$154K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,509 |
1,314 |
$112K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
6,962 |
6,099 |
$112K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,231 |
1,091 |
$98K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,962 |
1,644 |
$93K |
| 99245 |
|
461 |
456 |
$83K |
| 92558 |
|
4,971 |
4,373 |
$61K |
| 99173 |
|
4,922 |
4,363 |
$37K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
419 |
352 |
$28K |
| 90686 |
|
1,672 |
1,439 |
$20K |
| 87430 |
|
790 |
659 |
$12K |
| 99000 |
|
834 |
754 |
$10K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
67 |
67 |
$10K |
| 99243 |
|
92 |
92 |
$9K |
| 90651 |
|
338 |
234 |
$9K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
265 |
265 |
$3K |
| 90670 |
|
139 |
131 |
$2K |
| 86580 |
|
446 |
345 |
$2K |
| 90672 |
|
125 |
106 |
$1K |
| 99242 |
|
13 |
13 |
$947.83 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
51 |
50 |
$737.90 |
| 90658 |
|
77 |
62 |
$706.60 |
| 90734 |
|
25 |
12 |
$392.85 |
| 90685 |
|
51 |
45 |
$294.40 |
| 90744 |
|
17 |
13 |
$284.07 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,148 |
4,214 |
$98.94 |
| 90633 |
|
13 |
13 |
$83.20 |
| 90461 |
|
1,541 |
1,334 |
$52.96 |
| 81003 |
|
21 |
19 |
$45.78 |
| 1003F |
|
3,419 |
2,942 |
$27.64 |
| 1036F |
|
880 |
753 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
190 |
154 |
$0.00 |
| 97802 |
|
231 |
216 |
$0.00 |
| 1034F |
|
14 |
12 |
$0.00 |