| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,533 |
13,016 |
$638K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,164 |
9,250 |
$324K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,047 |
2,895 |
$243K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,146 |
3,043 |
$227K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,639 |
2,409 |
$165K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,269 |
1,180 |
$87K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
9,089 |
4,200 |
$83K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,155 |
1,537 |
$38K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,138 |
2,990 |
$36K |
| 99429 |
|
1,048 |
975 |
$30K |
| 87428 |
|
648 |
627 |
$21K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,787 |
1,899 |
$19K |
| 99215 |
Prolong outpt/office vis |
241 |
237 |
$18K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,174 |
1,112 |
$15K |
| 90461 |
|
2,783 |
2,184 |
$15K |
| 92551 |
|
6,533 |
6,256 |
$12K |
| 83655 |
|
798 |
722 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
82 |
80 |
$6K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
504 |
467 |
$4K |
| 96160 |
|
2,120 |
2,051 |
$4K |
| 99383 |
|
12 |
12 |
$985.51 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
860 |
708 |
$664.33 |
| 85018 |
|
1,166 |
1,070 |
$631.77 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$592.32 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
15 |
$358.80 |
| 86308 |
|
34 |
33 |
$117.45 |
| 90619 |
|
574 |
468 |
$49.95 |
| 90674 |
|
26 |
26 |
$26.56 |
| 90756 |
|
602 |
548 |
$4.11 |
| 90697 |
|
260 |
221 |
$0.52 |
| 90671 |
|
378 |
247 |
$0.46 |
| 90677 |
|
121 |
98 |
$0.29 |
| 90688 |
|
1,196 |
1,185 |
$0.22 |
| 90620 |
|
602 |
567 |
$0.01 |
| 90680 |
|
670 |
594 |
$0.00 |
| 90716 |
|
32 |
32 |
$0.00 |
| 90696 |
|
227 |
194 |
$0.00 |
| 90651 |
|
741 |
660 |
$0.00 |
| 90723 |
|
171 |
170 |
$0.00 |
| 90698 |
|
65 |
64 |
$0.00 |
| 90686 |
|
30 |
30 |
$0.00 |
| 99173 |
|
7,395 |
7,021 |
$0.00 |
| 90633 |
|
802 |
710 |
$0.00 |
| 90670 |
|
828 |
817 |
$0.00 |
| 90648 |
|
394 |
371 |
$0.00 |
| 90710 |
|
713 |
619 |
$0.00 |
| 90715 |
|
447 |
384 |
$0.00 |
| 90700 |
|
127 |
116 |
$0.00 |
| 90734 |
|
337 |
336 |
$0.00 |
| 90687 |
|
32 |
32 |
$0.00 |
| 90707 |
|
31 |
31 |
$0.00 |