| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,737 |
3,159 |
$233K |
| 99215 |
Prolong outpt/office vis |
1,631 |
1,474 |
$144K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,718 |
3,344 |
$142K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,105 |
2,876 |
$86K |
| 99442 |
|
860 |
729 |
$53K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
545 |
529 |
$40K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
522 |
505 |
$38K |
| 92583 |
|
1,443 |
1,375 |
$35K |
| 90461 |
|
866 |
787 |
$27K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
360 |
326 |
$23K |
| 99441 |
|
474 |
398 |
$18K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
127 |
119 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
613 |
592 |
$9K |
| 99173 |
|
71 |
70 |
$4K |
| 99408 |
|
195 |
191 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
58 |
37 |
$4K |
| 81002 |
|
751 |
704 |
$2K |
| 90688 |
|
769 |
745 |
$1K |
| 99383 |
|
16 |
12 |
$1K |
| 92081 |
|
31 |
30 |
$597.24 |
| 90698 |
|
332 |
313 |
$567.52 |
| 90687 |
|
140 |
137 |
$225.67 |
| 90633 |
|
12 |
12 |
$29.55 |
| 3008F |
|
1,271 |
1,205 |
$1.81 |
| 2014F |
|
205 |
194 |
$0.46 |
| 91307 |
|
47 |
42 |
$0.02 |
| 90651 |
|
12 |
12 |
$0.00 |
| 90680 |
|
25 |
25 |
$0.00 |
| 90670 |
|
102 |
102 |
$0.00 |