| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,249 |
4,704 |
$398K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,060 |
2,514 |
$158K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,260 |
689 |
$74K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,096 |
597 |
$64K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,053 |
615 |
$58K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,128 |
2,069 |
$42K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,419 |
1,206 |
$32K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,586 |
1,242 |
$27K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
373 |
228 |
$26K |
| 92587 |
|
893 |
348 |
$8K |
| 99173 |
|
1,709 |
826 |
$6K |
| 92551 |
|
770 |
397 |
$5K |
| 96127 |
|
1,119 |
607 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
555 |
286 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
48 |
41 |
$4K |
| 90686 |
|
1,487 |
751 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
103 |
98 |
$3K |
| 99215 |
Prolong outpt/office vis |
30 |
28 |
$2K |
| 90474 |
|
297 |
184 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
105 |
62 |
$1K |
| 99381 |
|
24 |
13 |
$1K |
| 96161 |
|
225 |
131 |
$572.24 |
| 0072A |
|
22 |
14 |
$564.80 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
46 |
22 |
$513.64 |
| 90670 |
|
682 |
372 |
$0.00 |
| 90633 |
|
247 |
116 |
$0.00 |
| 90648 |
|
519 |
278 |
$0.00 |
| 3078F |
|
16 |
14 |
$0.00 |
| 90734 |
|
80 |
40 |
$0.00 |
| 90715 |
|
23 |
13 |
$0.00 |
| 90710 |
|
40 |
16 |
$0.00 |
| 90723 |
|
312 |
185 |
$0.00 |
| 90680 |
|
301 |
186 |
$0.00 |
| 90698 |
|
131 |
76 |
$0.00 |
| 3074F |
|
221 |
182 |
$0.00 |
| 90651 |
|
312 |
206 |
$0.00 |
| 3079F |
|
33 |
29 |
$0.00 |
| 90744 |
|
70 |
41 |
$0.00 |
| 90696 |
|
41 |
17 |
$0.00 |
| 90674 |
|
20 |
20 |
$0.00 |