| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
300 |
286 |
$26K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
394 |
379 |
$23K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
107 |
105 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
93 |
91 |
$7K |
| 92552 |
|
221 |
218 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
116 |
112 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
35 |
32 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
32 |
29 |
$2K |
| 90649 |
|
16 |
14 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
201 |
196 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
91 |
89 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
90 |
45 |
$1K |
| 90734 |
|
30 |
28 |
$773.56 |
| 99173 |
|
227 |
224 |
$559.44 |
| 90716 |
|
12 |
12 |
$368.99 |
| 90670 |
|
16 |
15 |
$327.05 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
268 |
258 |
$325.97 |
| 81002 |
|
79 |
77 |
$238.80 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
148 |
143 |
$221.14 |
| 90707 |
|
13 |
13 |
$209.77 |
| 90715 |
|
12 |
12 |
$179.78 |
| 90633 |
|
14 |
13 |
$170.03 |
| 97802 |
|
13 |
12 |
$0.00 |