| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,051 |
908 |
$77K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
729 |
690 |
$34K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
462 |
415 |
$33K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
425 |
379 |
$21K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
232 |
211 |
$17K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
204 |
187 |
$15K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,142 |
1,030 |
$8K |
| 92551 |
|
280 |
253 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
37 |
37 |
$708.48 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
47 |
39 |
$608.79 |
| 99173 |
|
298 |
272 |
$539.85 |
| 96161 |
|
125 |
115 |
$471.60 |
| 83655 |
|
58 |
52 |
$464.28 |
| 96160 |
|
187 |
161 |
$263.31 |
| 85013 |
|
59 |
53 |
$109.62 |
| 85018 |
|
59 |
53 |
$109.62 |
| 90688 |
|
113 |
105 |
$16.34 |
| 36416 |
|
59 |
53 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |
| 3008F |
|
339 |
316 |
$0.00 |
| 90686 |
|
167 |
161 |
$0.00 |
| 90657 |
|
104 |
101 |
$0.00 |
| 90698 |
|
16 |
16 |
$0.00 |
| 90716 |
|
15 |
14 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| 90670 |
|
155 |
151 |
$0.00 |
| 90648 |
|
79 |
72 |
$0.00 |
| 90461 |
|
142 |
141 |
$0.00 |
| 90633 |
|
47 |
45 |
$0.00 |
| 90707 |
|
27 |
26 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
40 |
40 |
$0.00 |