| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,606 |
1,449 |
$87K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,256 |
1,972 |
$68K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,017 |
967 |
$16K |
| 99215 |
Prolong outpt/office vis |
167 |
155 |
$12K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
77 |
77 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
27 |
27 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
16 |
12 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
14 |
$1K |
| 99188 |
|
140 |
136 |
$749.86 |
| 90686 |
|
67 |
67 |
$275.00 |
| 81002 |
|
671 |
644 |
$210.14 |
| 96127 |
|
28 |
26 |
$174.00 |
| 85018 |
|
346 |
335 |
$60.18 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
18 |
17 |
$54.42 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
51 |
51 |
$47.20 |
| 92551 |
|
79 |
67 |
$24.00 |
| 99173 |
|
252 |
237 |
$24.00 |
| 99000 |
|
55 |
50 |
$0.00 |