| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,505 |
9,420 |
$999K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,370 |
2,180 |
$207K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,116 |
1,971 |
$175K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,307 |
2,996 |
$137K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,467 |
1,277 |
$120K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,504 |
5,824 |
$118K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,065 |
933 |
$63K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
442 |
372 |
$38K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,024 |
2,839 |
$27K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,217 |
961 |
$27K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
278 |
241 |
$10K |
| 99215 |
Prolong outpt/office vis |
95 |
79 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
653 |
581 |
$8K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
766 |
729 |
$7K |
| 99051 |
|
271 |
245 |
$6K |
| 81002 |
|
1,508 |
1,379 |
$2K |
| 86747 |
|
94 |
93 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
29 |
25 |
$1K |
| 87084 |
|
101 |
78 |
$904.66 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
52 |
42 |
$427.56 |
| 94664 |
|
32 |
27 |
$312.72 |
| 92551 |
|
999 |
941 |
$207.32 |
| 90688 |
|
1,753 |
1,535 |
$145.50 |
| 99173 |
|
979 |
926 |
$4.00 |
| 90647 |
|
1,356 |
1,252 |
$0.00 |
| 90651 |
|
282 |
247 |
$0.00 |
| 90680 |
|
1,203 |
1,117 |
$0.00 |
| 90698 |
|
15 |
14 |
$0.00 |
| 90723 |
|
1,036 |
965 |
$0.00 |
| 90686 |
|
479 |
444 |
$0.00 |
| 99000 |
|
176 |
172 |
$0.00 |
| 90696 |
|
14 |
14 |
$0.00 |
| 90734 |
|
84 |
66 |
$0.00 |
| 90687 |
|
953 |
900 |
$0.00 |
| 90633 |
|
632 |
573 |
$0.00 |
| 90710 |
|
541 |
481 |
$0.00 |
| 90685 |
|
161 |
159 |
$0.00 |
| 90670 |
|
1,842 |
1,699 |
$0.00 |
| 90715 |
|
72 |
56 |
$0.00 |
| 90700 |
|
16 |
14 |
$0.00 |
| 90621 |
|
43 |
39 |
$0.00 |