| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,734 |
5,184 |
$602K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,265 |
4,623 |
$375K |
| 99215 |
Prolong outpt/office vis |
1,194 |
1,113 |
$166K |
| 92015 |
Determination of refractive state |
3,817 |
3,560 |
$149K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,436 |
1,309 |
$141K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,393 |
1,298 |
$139K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,246 |
1,185 |
$127K |
| 92587 |
|
3,857 |
3,600 |
$127K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
995 |
923 |
$109K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,917 |
4,613 |
$100K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,130 |
2,023 |
$46K |
| 36416 |
|
4,364 |
4,096 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
228 |
216 |
$10K |
| 94664 |
|
313 |
288 |
$3K |
| 99402 |
|
13 |
13 |
$791.18 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
63 |
54 |
$774.25 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
23 |
21 |
$417.80 |
| 94760 |
|
158 |
140 |
$229.09 |
| 86403 |
|
12 |
12 |
$107.03 |
| 90686 |
|
1,433 |
1,344 |
$0.14 |
| 90670 |
|
670 |
644 |
$0.02 |
| 90672 |
|
238 |
217 |
$0.01 |
| 90680 |
|
257 |
248 |
$0.01 |
| 90734 |
|
119 |
112 |
$0.00 |
| 90685 |
|
103 |
93 |
$0.00 |
| 90633 |
|
136 |
129 |
$0.00 |
| 90698 |
|
595 |
573 |
$0.00 |
| 90697 |
|
39 |
39 |
$0.00 |
| 90674 |
|
208 |
200 |
$0.00 |
| 90651 |
|
100 |
97 |
$0.00 |
| 90744 |
|
54 |
52 |
$0.00 |
| 90620 |
|
29 |
28 |
$0.00 |