| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,398 |
3,992 |
$410K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,327 |
2,186 |
$138K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,342 |
2,319 |
$40K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
320 |
320 |
$22K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
275 |
275 |
$20K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
219 |
219 |
$17K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
375 |
189 |
$5K |
| 90461 |
|
309 |
309 |
$5K |
| 92551 |
|
1,095 |
1,094 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
47 |
45 |
$3K |
| 85018 |
|
1,811 |
1,810 |
$3K |
| 81002 |
|
1,487 |
1,478 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
659 |
642 |
$3K |
| 99173 |
|
1,350 |
1,349 |
$1K |
| 96127 |
|
186 |
186 |
$636.32 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$297.59 |
| 36416 |
|
1,963 |
1,947 |
$24.30 |
| 90686 |
|
236 |
236 |
$17.86 |
| 90674 |
|
47 |
46 |
$0.01 |
| 99000 |
|
520 |
482 |
$0.00 |
| 90656 |
|
48 |
48 |
$0.00 |
| 90620 |
|
13 |
13 |
$0.00 |
| 90698 |
|
12 |
12 |
$0.00 |
| 90734 |
|
15 |
15 |
$0.00 |