| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,668 |
1,570 |
$116K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,434 |
2,371 |
$84K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,814 |
1,718 |
$80K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
762 |
686 |
$51K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
581 |
551 |
$41K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
520 |
508 |
$38K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
381 |
363 |
$29K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
438 |
315 |
$6K |
| 94010 |
|
138 |
126 |
$4K |
| 92551 |
|
1,015 |
966 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
174 |
164 |
$2K |
| 99188 |
|
164 |
157 |
$2K |
| 99383 |
|
25 |
24 |
$2K |
| 0001A |
|
36 |
35 |
$1K |
| 0002A |
|
21 |
21 |
$840.00 |
| 96160 |
|
244 |
225 |
$783.21 |
| 96161 |
|
200 |
193 |
$667.48 |
| 99173 |
|
863 |
804 |
$368.17 |
| 83655 |
|
74 |
71 |
$364.57 |
| 85018 |
|
184 |
179 |
$252.88 |
| 96127 |
|
175 |
159 |
$66.85 |
| 81002 |
|
27 |
24 |
$63.07 |
| 90744 |
|
136 |
120 |
$23.59 |
| 94760 |
|
488 |
455 |
$17.07 |
| 90686 |
|
572 |
509 |
$0.03 |
| 90651 |
|
171 |
150 |
$0.01 |
| 90670 |
|
408 |
372 |
$0.00 |
| 90700 |
|
513 |
463 |
$0.00 |
| 91300 |
|
78 |
76 |
$0.00 |
| 90713 |
|
335 |
314 |
$0.00 |
| 90648 |
|
411 |
375 |
$0.00 |
| 90633 |
|
81 |
71 |
$0.00 |
| 90707 |
|
44 |
41 |
$0.00 |
| 90680 |
|
186 |
177 |
$0.00 |
| 90688 |
|
23 |
20 |
$0.00 |
| 36416 |
|
134 |
128 |
$0.00 |
| 90716 |
|
39 |
37 |
$0.00 |