| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,549 |
3,957 |
$345K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,973 |
3,412 |
$201K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,246 |
1,188 |
$92K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
969 |
838 |
$61K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
679 |
652 |
$50K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
295 |
291 |
$25K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,284 |
2,150 |
$19K |
| 92551 |
|
1,873 |
1,793 |
$18K |
| 90670 |
|
649 |
599 |
$17K |
| 90686 |
|
1,238 |
1,182 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
860 |
766 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
464 |
258 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,218 |
2,997 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
136 |
129 |
$4K |
| 90651 |
|
139 |
137 |
$4K |
| 90648 |
|
351 |
317 |
$3K |
| 90716 |
|
100 |
93 |
$3K |
| 99173 |
|
1,170 |
1,121 |
$3K |
| 90461 |
|
1,672 |
1,540 |
$2K |
| 90633 |
|
200 |
179 |
$2K |
| 96127 |
|
356 |
327 |
$2K |
| 90723 |
|
142 |
128 |
$2K |
| 90707 |
|
97 |
93 |
$2K |
| 90734 |
|
58 |
53 |
$1K |
| 90698 |
|
65 |
58 |
$866.54 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
443 |
415 |
$863.27 |
| 99000 |
|
289 |
274 |
$535.22 |
| 90681 |
|
17 |
16 |
$525.10 |
| 81003 |
|
151 |
136 |
$306.39 |
| 81002 |
|
96 |
90 |
$266.55 |
| 90715 |
|
15 |
15 |
$236.13 |
| 90700 |
|
19 |
18 |
$222.52 |
| 87807 |
|
18 |
14 |
$171.85 |
| 90696 |
|
14 |
13 |
$143.00 |
| 94760 |
|
114 |
99 |
$93.95 |
| 99174 |
|
14 |
14 |
$82.36 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
15 |
14 |
$21.40 |