| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,214 |
5,698 |
$367K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,262 |
1,900 |
$76K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
716 |
643 |
$57K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
653 |
491 |
$47K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
490 |
415 |
$28K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
219 |
180 |
$12K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
892 |
619 |
$10K |
| 99401 |
|
108 |
102 |
$8K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,518 |
1,390 |
$3K |
| 90461 |
|
1,514 |
887 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,094 |
761 |
$2K |
| 92551 |
|
1,507 |
1,133 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
845 |
512 |
$956.90 |
| 90670 |
|
659 |
459 |
$208.76 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,235 |
1,519 |
$157.44 |
| 90686 |
|
265 |
258 |
$80.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
29 |
27 |
$0.00 |
| 90698 |
|
22 |
12 |
$0.00 |
| 87276 |
|
216 |
140 |
$0.00 |
| 90697 |
|
92 |
28 |
$0.00 |
| 90647 |
|
14 |
14 |
$0.00 |
| 90688 |
|
18 |
18 |
$0.00 |
| 99173 |
|
1,644 |
1,258 |
$0.00 |
| 87275 |
|
216 |
140 |
$0.00 |
| 90681 |
|
23 |
13 |
$0.00 |