| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,820 |
4,401 |
$342K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,890 |
2,623 |
$102K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,165 |
1,101 |
$84K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
973 |
927 |
$74K |
| 99215 |
Prolong outpt/office vis |
403 |
371 |
$40K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
359 |
345 |
$19K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
212 |
207 |
$17K |
| 90461 |
|
372 |
317 |
$14K |
| 92552 |
|
174 |
169 |
$5K |
| 99000 |
|
1,487 |
1,205 |
$3K |
| 99385 |
|
24 |
24 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
212 |
187 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
56 |
56 |
$1K |
| 85018 |
|
550 |
535 |
$1K |
| 99173 |
|
272 |
264 |
$648.04 |
| 85013 |
|
83 |
83 |
$463.52 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
14 |
$220.24 |
| 85014 |
|
60 |
60 |
$144.66 |
| 92558 |
|
13 |
13 |
$126.29 |
| 96160 |
|
13 |
12 |
$51.05 |
| 96127 |
|
12 |
12 |
$38.96 |
| 36415 |
Collection of venous blood by venipuncture |
49 |
45 |
$36.24 |
| 36416 |
|
477 |
305 |
$10.61 |
| 90670 |
|
257 |
202 |
$0.00 |
| 90686 |
|
163 |
127 |
$0.00 |
| 90647 |
|
68 |
57 |
$0.00 |
| 90723 |
|
45 |
42 |
$0.00 |