| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,325 |
4,104 |
$165K |
| 94010 |
|
2,551 |
2,413 |
$45K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,465 |
2,427 |
$33K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
564 |
530 |
$25K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
232 |
232 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
258 |
248 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
393 |
393 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
536 |
535 |
$8K |
| 90660 |
|
282 |
281 |
$6K |
| 90658 |
|
894 |
887 |
$6K |
| 94664 |
|
694 |
687 |
$5K |
| 99401 |
|
1,625 |
1,597 |
$5K |
| 92587 |
|
95 |
94 |
$2K |
| 99173 |
|
1,551 |
1,541 |
$1K |
| 90686 |
|
139 |
135 |
$1K |
| 90672 |
|
265 |
264 |
$1K |
| 99443 |
|
12 |
12 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
87 |
86 |
$1K |
| 99354 |
|
16 |
16 |
$545.24 |
| 0071A |
|
13 |
13 |
$482.18 |
| 0072A |
|
12 |
12 |
$394.69 |
| 90715 |
|
12 |
12 |
$362.74 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
17 |
17 |
$354.96 |
| 69210 |
|
41 |
41 |
$322.48 |
| 90461 |
|
113 |
97 |
$295.86 |
| 90621 |
|
14 |
13 |
$293.82 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
30 |
30 |
$220.00 |
| 92567 |
|
37 |
37 |
$198.72 |
| 99215 |
Prolong outpt/office vis |
14 |
13 |
$188.57 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$78.94 |
| 94760 |
|
463 |
440 |
$28.16 |
| 90657 |
|
12 |
12 |
$23.06 |
| 91307 |
|
61 |
60 |
$0.33 |