| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,688 |
9,712 |
$653K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,892 |
5,359 |
$157K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,025 |
1,003 |
$58K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
861 |
840 |
$50K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
782 |
737 |
$41K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,002 |
947 |
$40K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
199 |
191 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
934 |
893 |
$11K |
| 90686 |
|
1,557 |
1,480 |
$6K |
| 96127 |
|
1,579 |
1,192 |
$6K |
| 99177 |
|
746 |
720 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
340 |
166 |
$4K |
| 0071A |
|
33 |
29 |
$2K |
| 0072A |
|
12 |
12 |
$1K |
| 36416 |
|
233 |
216 |
$733.45 |
| 85018 |
|
201 |
193 |
$403.44 |
| 83655 |
|
12 |
12 |
$140.80 |
| 90698 |
|
176 |
173 |
$61.39 |
| 90685 |
|
64 |
63 |
$40.90 |
| 90670 |
|
168 |
168 |
$30.00 |
| 90680 |
|
25 |
24 |
$10.00 |
| 91307 |
|
73 |
60 |
$0.60 |
| 91300 |
|
15 |
13 |
$0.15 |
| 90633 |
|
13 |
13 |
$0.00 |
| 90656 |
|
63 |
61 |
$0.00 |
| 90677 |
|
15 |
15 |
$0.00 |