| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,292 |
2,085 |
$151K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,992 |
2,765 |
$137K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,429 |
3,284 |
$132K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,624 |
1,491 |
$112K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,298 |
1,231 |
$93K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
675 |
662 |
$49K |
| 90461 |
|
1,680 |
1,542 |
$38K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
162 |
160 |
$13K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
502 |
381 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
371 |
358 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
162 |
150 |
$4K |
| 99381 |
|
28 |
28 |
$2K |
| 96160 |
|
892 |
752 |
$2K |
| 92551 |
|
207 |
204 |
$2K |
| 92552 |
|
62 |
62 |
$1K |
| 99173 |
|
616 |
590 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
51 |
46 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
31 |
28 |
$403.42 |
| 96161 |
|
95 |
91 |
$309.39 |
| 81002 |
|
14 |
12 |
$27.40 |
| 90685 |
|
213 |
202 |
$0.00 |
| 90648 |
|
913 |
851 |
$0.00 |
| 90670 |
|
1,137 |
1,055 |
$0.00 |
| 90700 |
|
1,059 |
971 |
$0.00 |
| 90713 |
|
666 |
606 |
$0.00 |
| 90633 |
|
182 |
164 |
$0.00 |
| 99051 |
|
14 |
13 |
$0.00 |
| 90707 |
|
27 |
27 |
$0.00 |
| 90680 |
|
544 |
511 |
$0.00 |
| 90688 |
|
374 |
361 |
$0.00 |
| 90716 |
|
38 |
38 |
$0.00 |
| 90686 |
|
556 |
480 |
$0.00 |
| 90744 |
|
91 |
79 |
$0.00 |
| 90651 |
|
15 |
12 |
$0.00 |
| 90698 |
|
12 |
12 |
$0.00 |