| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,575 |
3,213 |
$313K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,928 |
2,685 |
$182K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,734 |
1,594 |
$159K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,165 |
1,137 |
$107K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
608 |
591 |
$47K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
315 |
306 |
$27K |
| 36416 |
|
4,173 |
3,936 |
$9K |
| 85018 |
|
2,877 |
2,811 |
$4K |
| 92551 |
|
802 |
789 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
650 |
631 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
30 |
27 |
$2K |
| 99173 |
|
754 |
720 |
$2K |
| 90723 |
|
508 |
481 |
$1K |
| 90648 |
|
574 |
543 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
576 |
500 |
$1K |
| 96161 |
|
865 |
777 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
137 |
132 |
$1K |
| 90686 |
|
208 |
203 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
710 |
665 |
$654.86 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
55 |
53 |
$569.37 |
| 96127 |
|
298 |
287 |
$522.74 |
| 90670 |
|
575 |
548 |
$423.24 |
| 90710 |
|
97 |
93 |
$278.49 |
| 97802 |
|
13 |
12 |
$275.49 |
| 90633 |
|
39 |
37 |
$263.04 |
| 88738 |
|
143 |
142 |
$250.57 |
| 90461 |
|
539 |
528 |
$204.94 |
| 83655 |
|
68 |
67 |
$173.50 |
| 90715 |
|
12 |
12 |
$69.05 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
308 |
281 |
$48.00 |
| 90734 |
|
31 |
27 |
$42.48 |
| 81002 |
|
27 |
24 |
$16.55 |
| 99000 |
|
40 |
38 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
12 |
$0.00 |
| 90681 |
|
152 |
142 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
30 |
30 |
$0.00 |