| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,798 |
4,725 |
$580K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,421 |
3,043 |
$265K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,258 |
1,970 |
$199K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,850 |
1,802 |
$186K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,086 |
1,061 |
$108K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
245 |
244 |
$27K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,788 |
1,732 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
190 |
184 |
$10K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
943 |
910 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
360 |
174 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
31 |
24 |
$3K |
| 99051 |
|
531 |
482 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
227 |
219 |
$2K |
| 85018 |
|
549 |
532 |
$488.76 |
| 81002 |
|
468 |
444 |
$388.59 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
47 |
45 |
$200.00 |
| 99173 |
|
2,390 |
2,143 |
$148.00 |
| 90686 |
|
49 |
43 |
$145.91 |
| 90700 |
|
104 |
101 |
$137.88 |
| 99000 |
|
1,990 |
1,666 |
$30.00 |
| 36415 |
Collection of venous blood by venipuncture |
62 |
55 |
$20.00 |
| 82270 |
|
45 |
37 |
$13.15 |
| 36416 |
|
736 |
658 |
$0.90 |
| 90713 |
|
13 |
13 |
$0.00 |
| 90670 |
|
14 |
14 |
$0.00 |