| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,004 |
922 |
$77K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,015 |
1,001 |
$44K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
632 |
599 |
$34K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
392 |
386 |
$32K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
369 |
360 |
$31K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
336 |
321 |
$27K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
250 |
249 |
$24K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
301 |
295 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
445 |
428 |
$5K |
| 99188 |
|
195 |
191 |
$2K |
| 36416 |
|
190 |
189 |
$521.69 |
| 92551 |
|
108 |
106 |
$476.28 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
15 |
$456.96 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
27 |
27 |
$284.13 |
| 99058 |
|
14 |
12 |
$210.68 |
| 85018 |
|
28 |
28 |
$56.52 |
| 90651 |
|
109 |
109 |
$0.02 |
| 90710 |
|
151 |
151 |
$0.00 |
| 90670 |
|
278 |
277 |
$0.00 |
| 99173 |
|
273 |
263 |
$0.00 |
| 90633 |
|
141 |
140 |
$0.00 |
| 90715 |
|
61 |
60 |
$0.00 |
| 90734 |
|
69 |
66 |
$0.00 |
| 90686 |
|
166 |
163 |
$0.00 |
| 90680 |
|
159 |
159 |
$0.00 |
| 90723 |
|
176 |
176 |
$0.00 |
| 90696 |
|
17 |
17 |
$0.00 |
| 90647 |
|
186 |
185 |
$0.00 |
| 90688 |
|
41 |
41 |
$0.00 |