| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,246 |
5,489 |
$494K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,851 |
4,408 |
$315K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
549 |
520 |
$64K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,344 |
1,242 |
$49K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
392 |
387 |
$48K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
346 |
327 |
$40K |
| 96127 |
|
943 |
839 |
$19K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
849 |
793 |
$19K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
121 |
113 |
$15K |
| D0145 |
Oral evaluation for a patient under three years of age |
463 |
448 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
882 |
817 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
613 |
544 |
$8K |
| 99174 |
|
390 |
364 |
$7K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
304 |
284 |
$6K |
| 99188 |
|
135 |
128 |
$3K |
| 92551 |
|
476 |
453 |
$3K |
| 36416 |
|
714 |
676 |
$2K |
| 94760 |
|
1,022 |
924 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
41 |
39 |
$781.20 |
| 87070 |
|
150 |
135 |
$601.92 |
| 83655 |
|
50 |
47 |
$520.20 |
| 99051 |
|
104 |
100 |
$414.56 |
| 87807 |
|
17 |
16 |
$194.65 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
42 |
37 |
$172.38 |
| 85018 |
|
425 |
405 |
$81.36 |
| 90686 |
|
201 |
189 |
$38.82 |
| 36415 |
Collection of venous blood by venipuncture |
18 |
17 |
$38.17 |
| 82962 |
|
12 |
12 |
$18.18 |
| 90461 |
|
636 |
610 |
$0.00 |
| 90670 |
|
183 |
175 |
$0.00 |
| 90710 |
|
26 |
25 |
$0.00 |
| 81002 |
|
53 |
50 |
$0.00 |
| 90633 |
|
44 |
40 |
$0.00 |
| 90685 |
|
20 |
17 |
$0.00 |
| 99000 |
|
881 |
829 |
$0.00 |
| 90680 |
|
24 |
24 |
$0.00 |
| 90698 |
|
24 |
24 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
69 |
65 |
$0.00 |
| 90651 |
|
25 |
24 |
$0.00 |