| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,080 |
1,017 |
$55K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,379 |
1,237 |
$50K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
594 |
583 |
$48K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
414 |
409 |
$34K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
405 |
389 |
$31K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,692 |
1,064 |
$21K |
| 99429 |
|
279 |
277 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
955 |
676 |
$8K |
| 90461 |
|
807 |
687 |
$6K |
| 97802 |
|
956 |
937 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
294 |
285 |
$4K |
| 99215 |
Prolong outpt/office vis |
20 |
17 |
$2K |
| 86328 |
|
38 |
18 |
$1K |
| 99000 |
|
108 |
106 |
$771.12 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
60 |
56 |
$759.20 |
| 87807 |
|
24 |
23 |
$242.00 |
| 90670 |
|
196 |
194 |
$0.01 |
| 90648 |
|
59 |
59 |
$0.00 |
| 90672 |
|
15 |
15 |
$0.00 |
| 90633 |
|
24 |
24 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
975 |
957 |
$0.00 |
| 90686 |
|
94 |
94 |
$0.00 |
| 90680 |
|
14 |
14 |
$0.00 |