| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,217 |
1,918 |
$140K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,609 |
1,347 |
$69K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,345 |
1,148 |
$16K |
| 92551 |
|
842 |
770 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
87 |
85 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
63 |
61 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
252 |
239 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
212 |
94 |
$2K |
| 99499 |
|
111 |
87 |
$1K |
| 99173 |
|
715 |
640 |
$969.11 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15 |
12 |
$859.01 |
| 96160 |
|
210 |
178 |
$712.92 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
71 |
62 |
$691.86 |
| 99402 |
|
124 |
106 |
$684.16 |
| 99401 |
|
215 |
176 |
$667.84 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
43 |
39 |
$512.07 |
| 99403 |
|
221 |
167 |
$504.00 |
| 81002 |
|
149 |
145 |
$370.84 |
| 85018 |
|
131 |
109 |
$181.72 |
| 94760 |
|
669 |
485 |
$36.89 |
| 90686 |
|
520 |
438 |
$0.00 |
| 90688 |
|
22 |
19 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
30 |
25 |
$0.00 |
| 90620 |
|
15 |
12 |
$0.00 |
| 91307 |
|
39 |
17 |
$0.00 |
| 90633 |
|
43 |
39 |
$0.00 |