| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,079 |
5,295 |
$347K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,721 |
4,279 |
$211K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,230 |
1,927 |
$147K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,014 |
1,860 |
$144K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,389 |
2,995 |
$92K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,177 |
1,028 |
$79K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,970 |
1,744 |
$71K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
842 |
763 |
$60K |
| 92551 |
|
3,136 |
2,834 |
$39K |
| 99173 |
|
2,883 |
2,600 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
574 |
511 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
570 |
260 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
840 |
765 |
$7K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
58 |
48 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
32 |
24 |
$1K |
| 0071A |
|
27 |
27 |
$983.40 |
| 99460 |
|
17 |
13 |
$828.00 |
| 0072A |
|
13 |
13 |
$503.40 |
| 90686 |
|
1,692 |
1,533 |
$146.17 |
| 90670 |
|
1,301 |
1,186 |
$0.00 |
| 90461 |
|
2,671 |
2,440 |
$0.00 |
| 90633 |
|
600 |
550 |
$0.00 |
| 90734 |
|
211 |
186 |
$0.00 |
| 90700 |
|
456 |
415 |
$0.00 |
| 90713 |
|
143 |
123 |
$0.00 |
| 90707 |
|
482 |
441 |
$0.00 |
| 90671 |
|
272 |
242 |
$0.00 |
| 90715 |
|
101 |
77 |
$0.00 |
| 90648 |
|
28 |
26 |
$0.00 |
| 90680 |
|
869 |
778 |
$0.00 |
| 90698 |
|
1,201 |
1,093 |
$0.00 |
| 91307 |
|
47 |
42 |
$0.00 |
| 90619 |
|
182 |
156 |
$0.00 |
| 90744 |
|
728 |
643 |
$0.00 |
| 90651 |
|
319 |
271 |
$0.00 |
| 90716 |
|
495 |
448 |
$0.00 |
| 90656 |
|
100 |
100 |
$0.00 |