| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
817 |
765 |
$50K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,118 |
1,092 |
$35K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
782 |
743 |
$33K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
312 |
301 |
$20K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
237 |
230 |
$17K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
207 |
194 |
$13K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
176 |
159 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
124 |
119 |
$2K |
| 96160 |
|
140 |
122 |
$673.88 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
54 |
40 |
$607.58 |
| 92551 |
|
237 |
221 |
$532.16 |
| 99173 |
|
327 |
301 |
$142.67 |
| 81002 |
|
13 |
13 |
$39.96 |
| 96127 |
|
58 |
58 |
$39.00 |
| 94760 |
|
194 |
162 |
$12.52 |
| 90700 |
|
179 |
160 |
$0.00 |
| 90713 |
|
106 |
99 |
$0.00 |
| 90670 |
|
60 |
58 |
$0.00 |
| 90648 |
|
82 |
72 |
$0.00 |
| 90686 |
|
261 |
240 |
$0.00 |
| 90680 |
|
25 |
24 |
$0.00 |
| 90651 |
|
14 |
13 |
$0.00 |