| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,096 |
3,878 |
$311K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,803 |
1,383 |
$108K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
937 |
803 |
$63K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,235 |
1,035 |
$49K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,520 |
2,103 |
$45K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,328 |
861 |
$28K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,784 |
1,416 |
$20K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
327 |
209 |
$14K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,621 |
1,298 |
$12K |
| 99460 |
|
242 |
173 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
71 |
57 |
$4K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
22 |
12 |
$2K |
| 90670 |
|
880 |
746 |
$2K |
| 81003 |
|
585 |
473 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
19 |
12 |
$998.58 |
| 90461 |
|
1,393 |
1,154 |
$854.37 |
| 83655 |
|
58 |
51 |
$741.63 |
| 99462 |
|
24 |
12 |
$511.59 |
| 36416 |
|
420 |
354 |
$511.29 |
| 87807 |
|
54 |
39 |
$468.81 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
13 |
$455.51 |
| 90723 |
|
650 |
560 |
$400.00 |
| 90686 |
|
318 |
268 |
$127.56 |
| 90647 |
|
508 |
434 |
$104.40 |
| 90633 |
|
62 |
50 |
$0.00 |
| 90707 |
|
20 |
15 |
$0.00 |
| 90681 |
|
178 |
152 |
$0.00 |
| 90716 |
|
19 |
14 |
$0.00 |