| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,782 |
3,494 |
$313K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,445 |
5,024 |
$308K |
| 99215 |
Prolong outpt/office vis |
796 |
768 |
$97K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,305 |
1,296 |
$97K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,158 |
1,158 |
$86K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
836 |
835 |
$68K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
936 |
904 |
$63K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,360 |
2,337 |
$47K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,506 |
2,395 |
$24K |
| 96127 |
|
5,277 |
3,833 |
$19K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
410 |
405 |
$15K |
| 80061 |
Lipid panel |
1,204 |
1,203 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,326 |
1,317 |
$11K |
| D0190 |
|
690 |
682 |
$10K |
| 92551 |
|
1,398 |
1,389 |
$9K |
| 85018 |
|
3,562 |
3,542 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
396 |
380 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
352 |
340 |
$5K |
| 83655 |
|
242 |
239 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
25 |
25 |
$2K |
| 87428 |
|
70 |
70 |
$2K |
| 99188 |
|
126 |
124 |
$1K |
| 90686 |
|
1,401 |
1,395 |
$873.73 |
| 99442 |
|
28 |
26 |
$870.85 |
| 99441 |
|
29 |
29 |
$551.85 |
| 90651 |
|
127 |
127 |
$401.42 |
| 96160 |
|
243 |
238 |
$357.17 |
| 96161 |
|
203 |
189 |
$308.86 |
| 81002 |
|
100 |
98 |
$285.78 |
| 90734 |
|
65 |
65 |
$257.70 |
| 36416 |
|
475 |
470 |
$46.25 |
| 90698 |
|
143 |
143 |
$0.00 |
| 3048F |
|
376 |
376 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| 90744 |
|
26 |
24 |
$0.00 |
| 99000 |
|
83 |
82 |
$0.00 |
| 90670 |
|
352 |
349 |
$0.00 |
| 90707 |
|
15 |
15 |
$0.00 |
| 90715 |
|
28 |
28 |
$0.00 |
| 5250F |
|
158 |
156 |
$0.00 |
| 90685 |
|
96 |
95 |
$0.00 |
| 90621 |
|
14 |
14 |
$0.00 |
| 90633 |
|
74 |
74 |
$0.00 |
| 90461 |
|
25 |
25 |
$0.00 |