| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,710 |
8,116 |
$533K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,619 |
7,410 |
$348K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,277 |
1,254 |
$69K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,851 |
1,617 |
$64K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,840 |
3,540 |
$63K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,110 |
1,101 |
$56K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,744 |
3,661 |
$52K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
672 |
657 |
$37K |
| 92557 |
|
1,264 |
1,256 |
$27K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
422 |
408 |
$20K |
| 99188 |
|
753 |
751 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,230 |
1,165 |
$13K |
| 90461 |
|
803 |
761 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
757 |
716 |
$10K |
| 99401 |
|
1,222 |
1,219 |
$6K |
| 99173 |
|
2,349 |
2,219 |
$4K |
| 90686 |
|
412 |
411 |
$3K |
| 99402 |
|
142 |
139 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
321 |
147 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
136 |
135 |
$2K |
| 90619 |
|
15 |
12 |
$2K |
| 0071A |
|
42 |
42 |
$2K |
| 88738 |
|
809 |
808 |
$1K |
| 94664 |
|
163 |
134 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$1K |
| 96127 |
|
620 |
620 |
$959.23 |
| 97802 |
|
1,263 |
1,197 |
$867.17 |
| 90658 |
|
115 |
115 |
$839.74 |
| 92558 |
|
189 |
189 |
$722.36 |
| 36410 |
|
39 |
38 |
$484.80 |
| 90656 |
|
39 |
39 |
$483.89 |
| 0072A |
|
12 |
12 |
$480.00 |
| 90670 |
|
28 |
27 |
$427.68 |
| 36416 |
|
99 |
99 |
$420.60 |
| 83655 |
|
45 |
45 |
$328.69 |
| 99072 |
|
395 |
342 |
$100.00 |
| 90713 |
|
15 |
12 |
$38.74 |
| 81002 |
|
67 |
60 |
$37.75 |
| 90700 |
|
29 |
26 |
$34.15 |
| 90657 |
|
15 |
15 |
$20.10 |
| 96160 |
|
13 |
13 |
$16.87 |
| 91307 |
|
71 |
63 |
$10.00 |
| 97803 |
|
334 |
333 |
$8.45 |
| 90648 |
|
12 |
12 |
$0.00 |