| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
557 |
436 |
$28K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
176 |
130 |
$7K |
| 99442 |
|
192 |
170 |
$4K |
| 94060 |
|
92 |
78 |
$4K |
| 99443 |
|
117 |
111 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
58 |
56 |
$3K |
| 92081 |
|
338 |
233 |
$3K |
| 92552 |
|
193 |
185 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
42 |
41 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
82 |
78 |
$1K |
| 93000 |
|
102 |
95 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
94 |
85 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
76 |
67 |
$862.90 |
| 92550 |
|
89 |
74 |
$745.91 |
| 86403 |
|
42 |
36 |
$160.00 |
| 36415 |
Collection of venous blood by venipuncture |
47 |
46 |
$81.80 |
| 99174 |
|
27 |
26 |
$54.81 |
| 81001 |
|
57 |
50 |
$24.86 |