| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,745 |
10,670 |
$1.09M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,171 |
11,419 |
$787K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,132 |
2,129 |
$161K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,065 |
2,057 |
$157K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,568 |
1,560 |
$108K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,266 |
1,258 |
$103K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,054 |
5,017 |
$93K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,483 |
4,447 |
$41K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,698 |
2,604 |
$36K |
| 96127 |
|
1,644 |
1,626 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
94 |
93 |
$4K |
| 90686 |
|
1,872 |
1,870 |
$542.21 |
| 90715 |
|
27 |
27 |
$69.86 |
| 90677 |
|
38 |
38 |
$0.20 |
| 90670 |
|
848 |
847 |
$0.00 |
| 90633 |
|
192 |
191 |
$0.00 |
| 90685 |
|
150 |
150 |
$0.00 |
| 90734 |
|
52 |
49 |
$0.00 |
| 90621 |
|
12 |
12 |
$0.00 |
| 90723 |
|
134 |
134 |
$0.00 |
| 90680 |
|
404 |
404 |
$0.00 |
| 90651 |
|
76 |
76 |
$0.00 |
| 90647 |
|
154 |
154 |
$0.00 |
| 90698 |
|
130 |
130 |
$0.00 |
| 90697 |
|
14 |
14 |
$0.00 |
| 90619 |
|
13 |
13 |
$0.00 |