| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,107 |
2,767 |
$188K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,133 |
3,643 |
$164K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,263 |
2,959 |
$149K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,700 |
4,024 |
$121K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,396 |
1,276 |
$92K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,093 |
984 |
$67K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
927 |
845 |
$56K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
759 |
674 |
$50K |
| 92551 |
|
2,826 |
2,536 |
$19K |
| 99173 |
|
2,449 |
2,204 |
$13K |
| 96127 |
|
3,128 |
2,041 |
$12K |
| 36415 |
Collection of venous blood by venipuncture |
1,835 |
1,609 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
381 |
347 |
$4K |
| 99205 |
Prolong outpt/office vis |
14 |
14 |
$2K |
| 81000 |
|
563 |
522 |
$2K |
| 69210 |
|
69 |
55 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
172 |
80 |
$2K |
| 36416 |
|
995 |
888 |
$2K |
| 90670 |
|
1,104 |
997 |
$1K |
| 90651 |
|
73 |
67 |
$750.00 |
| 90707 |
|
89 |
64 |
$240.00 |
| 90633 |
|
333 |
295 |
$218.89 |
| 94761 |
|
349 |
326 |
$217.42 |
| 90461 |
|
34 |
27 |
$146.38 |
| 90648 |
|
780 |
708 |
$72.96 |
| 90686 |
|
119 |
111 |
$43.38 |
| 90710 |
|
47 |
46 |
$0.00 |
| 99072 |
|
169 |
160 |
$0.00 |
| 90715 |
|
47 |
41 |
$0.00 |
| 90734 |
|
36 |
35 |
$0.00 |
| 90723 |
|
284 |
265 |
$0.00 |
| 90696 |
|
29 |
27 |
$0.00 |
| 90680 |
|
63 |
63 |
$0.00 |
| 99000 |
|
13 |
13 |
$0.00 |
| 90716 |
|
51 |
41 |
$0.00 |
| 90698 |
|
14 |
14 |
$0.00 |