| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,484 |
11,354 |
$883K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,482 |
12,163 |
$697K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,809 |
4,653 |
$428K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,309 |
4,224 |
$402K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,488 |
3,303 |
$308K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,531 |
2,472 |
$252K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,991 |
4,795 |
$180K |
| 90461 |
|
5,769 |
5,321 |
$175K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
10,155 |
9,763 |
$148K |
| 99381 |
|
615 |
515 |
$40K |
| 99383 |
|
262 |
259 |
$28K |
| 90670 |
|
2,344 |
2,230 |
$16K |
| 92552 |
|
3,159 |
3,068 |
$11K |
| 99382 |
|
104 |
101 |
$11K |
| 99384 |
|
94 |
93 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
77 |
72 |
$6K |
| 90715 |
|
564 |
545 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
26 |
25 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
537 |
475 |
$2K |
| 90686 |
|
1,211 |
1,165 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
521 |
495 |
$2K |
| 90619 |
|
92 |
92 |
$1K |
| 90671 |
|
120 |
115 |
$1K |
| 92551 |
|
6,726 |
6,136 |
$1K |
| 90710 |
|
1,459 |
1,396 |
$1K |
| 94664 |
|
88 |
88 |
$913.02 |
| 90688 |
|
529 |
503 |
$353.22 |
| 90651 |
|
1,450 |
1,403 |
$309.11 |
| 99173 |
|
9,555 |
8,855 |
$282.63 |
| 90698 |
|
369 |
329 |
$242.80 |
| 90656 |
|
82 |
82 |
$125.00 |
| 90620 |
|
806 |
770 |
$120.04 |
| 90680 |
|
1,632 |
1,545 |
$95.00 |
| 90633 |
|
1,669 |
1,612 |
$73.28 |
| 90696 |
|
518 |
501 |
$40.00 |
| 90734 |
|
911 |
877 |
$0.00 |
| 90648 |
|
1,568 |
1,506 |
$0.00 |
| 90700 |
|
550 |
531 |
$0.00 |
| 90621 |
|
39 |
39 |
$0.00 |
| 90687 |
|
193 |
192 |
$0.00 |
| 90723 |
|
1,228 |
1,170 |
$0.00 |
| 90677 |
|
145 |
138 |
$0.00 |
| 90647 |
|
306 |
288 |
$0.00 |
| 90697 |
|
13 |
13 |
$0.00 |
| 90744 |
|
27 |
27 |
$0.00 |