| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,132 |
8,048 |
$722K |
| 99215 |
Prolong outpt/office vis |
6,995 |
5,157 |
$659K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,785 |
2,813 |
$167K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,879 |
1,421 |
$132K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,627 |
1,227 |
$112K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
737 |
606 |
$55K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
623 |
509 |
$46K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,014 |
3,132 |
$35K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
414 |
317 |
$32K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,191 |
1,684 |
$31K |
| 99000 |
|
8,307 |
6,112 |
$19K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
595 |
434 |
$15K |
| 83655 |
|
1,088 |
858 |
$12K |
| 85018 |
|
6,130 |
4,563 |
$11K |
| 69210 |
|
247 |
197 |
$6K |
| 81003 |
|
3,201 |
2,341 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
131 |
88 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
352 |
144 |
$4K |
| 99173 |
|
3,048 |
2,418 |
$3K |
| 36416 |
|
1,074 |
846 |
$2K |
| 99174 |
|
412 |
350 |
$1K |
| 90474 |
|
69 |
58 |
$541.16 |
| 90651 |
|
272 |
234 |
$225.00 |
| 90670 |
|
360 |
310 |
$188.26 |
| 90633 |
|
193 |
170 |
$0.58 |
| 90686 |
|
820 |
676 |
$0.00 |
| 90620 |
|
16 |
13 |
$0.00 |
| 90698 |
|
140 |
116 |
$0.00 |
| 90619 |
|
149 |
131 |
$0.00 |
| 90744 |
|
29 |
26 |
$0.00 |
| 90680 |
|
92 |
71 |
$0.00 |
| 90696 |
|
31 |
25 |
$0.00 |
| 90710 |
|
43 |
37 |
$0.00 |
| 90734 |
|
258 |
214 |
$0.00 |
| 90715 |
|
137 |
116 |
$0.00 |
| 90685 |
|
47 |
26 |
$0.00 |