| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
778 |
667 |
$55K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
459 |
417 |
$35K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
684 |
598 |
$31K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
392 |
344 |
$27K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
162 |
143 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
66 |
60 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
307 |
268 |
$5K |
| 90670 |
|
263 |
242 |
$4K |
| 96127 |
|
243 |
218 |
$4K |
| 90686 |
|
326 |
296 |
$3K |
| 90651 |
|
29 |
25 |
$2K |
| 90707 |
|
79 |
65 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
61 |
53 |
$1K |
| 90633 |
|
113 |
98 |
$1K |
| 90698 |
|
82 |
75 |
$874.32 |
| 90716 |
|
40 |
38 |
$874.26 |
| 90734 |
|
28 |
26 |
$808.75 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
31 |
27 |
$769.55 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
51 |
45 |
$645.23 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
29 |
26 |
$437.05 |
| 90715 |
|
22 |
22 |
$269.88 |
| 90700 |
|
32 |
29 |
$253.68 |
| 90648 |
|
12 |
12 |
$76.80 |
| 90744 |
|
13 |
12 |
$64.00 |
| 85018 |
|
13 |
12 |
$27.84 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
17 |
14 |
$0.00 |