| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,262 |
4,436 |
$29K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,053 |
4,109 |
$19K |
| 94010 |
|
2,928 |
2,712 |
$7K |
| 93000 |
|
1,899 |
1,810 |
$6K |
| 92136 |
|
148 |
144 |
$5K |
| 17110 |
|
543 |
515 |
$5K |
| 92558 |
|
1,691 |
1,603 |
$4K |
| 92588 |
|
147 |
143 |
$4K |
| 99177 |
|
1,227 |
1,138 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
272 |
261 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
229 |
222 |
$2K |
| 94760 |
|
8,404 |
6,666 |
$2K |
| 99402 |
|
658 |
610 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
57 |
54 |
$872.79 |
| 99406 |
|
1,472 |
1,395 |
$569.94 |
| 99408 |
|
806 |
766 |
$542.59 |
| 85018 |
|
2,323 |
2,021 |
$470.83 |
| 99401 |
|
571 |
564 |
$444.61 |
| 90686 |
|
208 |
206 |
$228.60 |
| 96160 |
|
166 |
138 |
$179.43 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
166 |
154 |
$177.83 |
| 81003 |
|
1,452 |
1,142 |
$145.69 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
527 |
350 |
$141.72 |
| 90651 |
|
49 |
46 |
$118.80 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
315 |
267 |
$103.78 |
| 99407 |
|
100 |
70 |
$84.20 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
59 |
51 |
$75.27 |
| 99058 |
|
185 |
156 |
$75.00 |
| 90688 |
|
110 |
107 |
$54.59 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
174 |
166 |
$36.25 |
| 90658 |
|
22 |
18 |
$19.87 |
| 90620 |
|
19 |
19 |
$19.80 |
| 36416 |
|
1,061 |
769 |
$13.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
32 |
14 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
33 |
31 |
$0.00 |
| 90756 |
|
14 |
14 |
$0.00 |
| 82947 |
|
54 |
27 |
$0.00 |