| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,240 |
3,820 |
$439K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,051 |
5,240 |
$425K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,481 |
2,358 |
$275K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,148 |
2,069 |
$224K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,833 |
5,481 |
$183K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
733 |
693 |
$81K |
| 96127 |
|
2,822 |
2,638 |
$46K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
435 |
395 |
$44K |
| 99173 |
|
5,552 |
5,289 |
$39K |
| 92551 |
|
5,791 |
5,514 |
$35K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
277 |
263 |
$31K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
798 |
743 |
$8K |
| D0145 |
Oral evaluation for a patient under three years of age |
359 |
342 |
$8K |
| 99174 |
|
391 |
362 |
$7K |
| 36416 |
|
1,561 |
1,481 |
$5K |
| 81005 |
|
1,437 |
1,342 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
143 |
140 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
19 |
19 |
$62.67 |
| 90734 |
|
452 |
428 |
$0.00 |
| 90685 |
|
85 |
84 |
$0.00 |
| 90670 |
|
178 |
170 |
$0.00 |
| 90710 |
|
41 |
28 |
$0.00 |
| 90672 |
|
154 |
152 |
$0.00 |
| 90715 |
|
54 |
54 |
$0.00 |
| 90633 |
|
14 |
12 |
$0.00 |
| 90686 |
|
2,580 |
2,385 |
$0.00 |
| 90651 |
|
427 |
411 |
$0.00 |
| 85018 |
|
742 |
672 |
$0.00 |
| 90620 |
|
164 |
142 |
$0.00 |
| 90698 |
|
85 |
85 |
$0.00 |
| 90674 |
|
220 |
219 |
$0.00 |
| 90744 |
|
30 |
29 |
$0.00 |