| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,868 |
5,969 |
$613K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,317 |
4,605 |
$321K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,090 |
6,458 |
$247K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,716 |
1,573 |
$150K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,384 |
1,278 |
$134K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,516 |
1,379 |
$131K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,270 |
1,107 |
$102K |
| 92081 |
|
4,052 |
3,759 |
$100K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,867 |
2,723 |
$35K |
| 94760 |
|
13,963 |
12,099 |
$22K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,565 |
1,351 |
$21K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,539 |
1,355 |
$16K |
| 85018 |
|
6,555 |
5,834 |
$15K |
| 81002 |
|
3,876 |
3,494 |
$12K |
| 90651 |
|
589 |
501 |
$6K |
| 90670 |
|
1,059 |
967 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,178 |
1,121 |
$4K |
| 99000 |
|
1,993 |
1,720 |
$3K |
| 99383 |
|
27 |
26 |
$3K |
| 90734 |
|
470 |
426 |
$3K |
| 90698 |
|
391 |
343 |
$2K |
| 90680 |
|
418 |
383 |
$1K |
| 90710 |
|
86 |
75 |
$727.17 |
| 90686 |
|
897 |
879 |
$586.58 |
| 90688 |
|
578 |
505 |
$501.40 |
| 90715 |
|
179 |
171 |
$456.38 |
| 90620 |
|
24 |
24 |
$450.01 |
| 90619 |
|
28 |
26 |
$320.04 |
| 90633 |
|
476 |
427 |
$275.56 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
64 |
12 |
$261.63 |
| 90687 |
|
228 |
226 |
$186.18 |
| 90661 |
|
125 |
121 |
$132.15 |
| 90696 |
|
27 |
25 |
$120.48 |
| 82274 |
|
117 |
30 |
$106.00 |
| 90648 |
|
116 |
104 |
$82.10 |
| 90674 |
|
289 |
283 |
$71.97 |
| 90700 |
|
28 |
28 |
$36.55 |
| 36416 |
|
22 |
12 |
$31.00 |
| 90744 |
|
82 |
64 |
$29.70 |
| 90685 |
|
33 |
33 |
$0.02 |
| 90723 |
|
15 |
14 |
$0.00 |
| 91307 |
|
14 |
14 |
$0.00 |