| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,398 |
7,656 |
$779K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,457 |
3,250 |
$232K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,002 |
2,865 |
$219K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,094 |
2,087 |
$195K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,718 |
3,651 |
$73K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,336 |
5,262 |
$61K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,578 |
4,543 |
$55K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
560 |
560 |
$53K |
| 99188 |
|
1,304 |
1,296 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
95 |
95 |
$9K |
| 90474 |
|
1,023 |
1,019 |
$7K |
| 90473 |
|
230 |
230 |
$3K |
| 81002 |
|
752 |
744 |
$2K |
| 99381 |
|
14 |
14 |
$1K |
| 0071A |
|
32 |
32 |
$1K |
| 99460 |
|
14 |
14 |
$829.55 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
12 |
12 |
$782.84 |
| 54150 |
|
12 |
12 |
$717.33 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
58 |
58 |
$643.90 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
13 |
13 |
$590.53 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
18 |
17 |
$236.91 |
| 87430 |
|
18 |
17 |
$76.88 |
| 81003 |
|
17 |
17 |
$38.19 |
| 90677 |
|
76 |
76 |
$0.00 |
| 90686 |
|
60 |
60 |
$0.00 |
| 90723 |
|
110 |
110 |
$0.00 |
| 90670 |
|
198 |
198 |
$0.00 |
| 90648 |
|
94 |
94 |
$0.00 |
| 90633 |
|
24 |
24 |
$0.00 |
| 90672 |
|
31 |
31 |
$0.00 |