| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,383 |
1,269 |
$83K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,869 |
1,821 |
$65K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,251 |
1,184 |
$51K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
559 |
533 |
$35K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
530 |
515 |
$32K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
509 |
468 |
$31K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
331 |
321 |
$21K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
344 |
204 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
163 |
155 |
$2K |
| 92551 |
|
386 |
362 |
$819.09 |
| 96160 |
|
230 |
214 |
$798.78 |
| 96161 |
|
72 |
71 |
$183.12 |
| 99173 |
|
418 |
391 |
$175.19 |
| 96127 |
|
102 |
100 |
$50.70 |
| 94760 |
|
551 |
455 |
$41.52 |
| 85018 |
|
14 |
12 |
$13.66 |
| 90648 |
|
295 |
264 |
$0.00 |
| 90707 |
|
103 |
99 |
$0.00 |
| 90670 |
|
309 |
285 |
$0.00 |
| 90700 |
|
363 |
328 |
$0.00 |
| 90713 |
|
269 |
248 |
$0.00 |
| 90633 |
|
70 |
58 |
$0.00 |
| 90734 |
|
42 |
40 |
$0.00 |
| 90651 |
|
129 |
121 |
$0.00 |
| 90744 |
|
70 |
66 |
$0.00 |
| 90620 |
|
12 |
12 |
$0.00 |
| 90680 |
|
112 |
108 |
$0.00 |
| 90686 |
|
385 |
344 |
$0.00 |
| 36416 |
|
17 |
12 |
$0.00 |
| 90716 |
|
84 |
83 |
$0.00 |
| 90688 |
|
35 |
33 |
$0.00 |