| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,900 |
1,482 |
$105K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
740 |
689 |
$55K |
| 99215 |
Prolong outpt/office vis |
285 |
270 |
$29K |
| 92567 |
|
2,046 |
1,883 |
$26K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
804 |
739 |
$18K |
| 94010 |
|
502 |
500 |
$13K |
| 92586 |
|
202 |
182 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,241 |
1,112 |
$10K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
705 |
628 |
$8K |
| 93000 |
|
339 |
330 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
53 |
53 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
58 |
58 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
256 |
256 |
$2K |
| 94060 |
|
30 |
30 |
$1K |
| 92587 |
|
66 |
66 |
$1K |
| 36410 |
|
240 |
239 |
$1K |
| 86580 |
|
96 |
95 |
$526.03 |
| 0124A |
|
13 |
13 |
$480.00 |
| 99401 |
|
27 |
26 |
$395.80 |
| 90658 |
|
79 |
79 |
$47.10 |