| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,499 |
4,049 |
$216K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,822 |
3,798 |
$138K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
683 |
579 |
$34K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
398 |
331 |
$21K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,496 |
2,015 |
$17K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,546 |
1,256 |
$13K |
| 86328 |
|
290 |
246 |
$10K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
308 |
247 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
494 |
405 |
$8K |
| 96160 |
|
1,479 |
1,187 |
$5K |
| 96161 |
|
1,117 |
869 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
262 |
157 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
42 |
42 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$983.94 |
| 36415 |
Collection of venous blood by venipuncture |
521 |
402 |
$661.46 |
| 87807 |
|
36 |
28 |
$218.89 |
| 96127 |
|
28 |
25 |
$103.40 |
| 90461 |
|
140 |
118 |
$78.82 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
87 |
56 |
$60.32 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
20 |
12 |
$13.42 |
| 99000 |
|
44 |
33 |
$0.00 |