| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,194 |
2,793 |
$182K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,359 |
2,059 |
$82K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,544 |
2,083 |
$79K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
760 |
708 |
$34K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
723 |
621 |
$31K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,170 |
1,726 |
$21K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,363 |
2,796 |
$21K |
| 99242 |
|
275 |
262 |
$13K |
| 99243 |
|
325 |
309 |
$12K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
261 |
213 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
228 |
196 |
$10K |
| 92567 |
|
916 |
790 |
$6K |
| 90461 |
|
577 |
470 |
$3K |
| 90658 |
|
113 |
88 |
$1K |
| 90686 |
|
34 |
34 |
$572.57 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
13 |
$560.00 |
| H0033 |
Oral medication administration, direct observation |
1,017 |
561 |
$173.25 |
| 90744 |
|
27 |
12 |
$27.36 |
| 99000 |
|
75 |
70 |
$7.14 |
| G8711 |
Prescribed antibiotic on or within 3 days after the episode date |
27 |
13 |
$0.00 |
| 99173 |
|
241 |
239 |
$0.00 |