| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19,011 |
15,161 |
$1.69M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,970 |
14,090 |
$1.08M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,348 |
6,086 |
$151K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,580 |
1,579 |
$134K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,332 |
1,329 |
$114K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,196 |
1,195 |
$110K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
974 |
894 |
$78K |
| 92552 |
|
3,664 |
3,658 |
$61K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
634 |
633 |
$60K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,233 |
2,215 |
$13K |
| 90461 |
|
976 |
968 |
$12K |
| 90686 |
|
2,735 |
2,735 |
$5K |
| 90651 |
|
878 |
875 |
$5K |
| 81003 |
|
2,384 |
2,278 |
$4K |
| 81000 |
|
947 |
919 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
251 |
248 |
$3K |
| 90715 |
|
103 |
103 |
$1K |
| 90734 |
|
169 |
169 |
$605.29 |
| 90716 |
|
161 |
161 |
$313.29 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
31 |
30 |
$305.69 |
| 36415 |
Collection of venous blood by venipuncture |
6,476 |
6,066 |
$83.39 |
| 90633 |
|
182 |
182 |
$80.28 |
| 90680 |
|
222 |
222 |
$0.00 |
| 90698 |
|
321 |
320 |
$0.00 |
| 90744 |
|
27 |
27 |
$0.00 |
| 90670 |
|
720 |
719 |
$0.00 |
| 90707 |
|
118 |
118 |
$0.00 |
| 90685 |
|
430 |
429 |
$0.00 |
| 99072 |
|
2,017 |
1,594 |
$0.00 |
| 90700 |
|
74 |
74 |
$0.00 |
| 90648 |
|
13 |
13 |
$0.00 |