| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,487 |
1,263 |
$87K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
960 |
883 |
$39K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,219 |
1,211 |
$32K |
| 99215 |
Prolong outpt/office vis |
334 |
276 |
$27K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
339 |
330 |
$18K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
344 |
330 |
$18K |
| 99051 |
|
489 |
446 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
159 |
154 |
$10K |
| 92552 |
|
796 |
767 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
609 |
537 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
150 |
141 |
$4K |
| 81002 |
|
745 |
701 |
$2K |
| 90686 |
|
429 |
418 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
26 |
24 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
72 |
68 |
$802.22 |
| 90461 |
|
911 |
317 |
$325.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
45 |
41 |
$219.68 |
| 96161 |
|
57 |
57 |
$184.48 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$133.62 |
| 90688 |
|
25 |
25 |
$71.36 |
| 90672 |
|
85 |
81 |
$50.00 |
| 90700 |
|
26 |
24 |
$30.00 |
| 99000 |
|
187 |
172 |
$0.00 |
| 90685 |
|
36 |
35 |
$0.00 |
| 90670 |
|
13 |
13 |
$0.00 |
| 90633 |
|
13 |
12 |
$0.00 |