| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,441 |
2,226 |
$155K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,145 |
2,801 |
$130K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,043 |
1,985 |
$60K |
| 99215 |
Prolong outpt/office vis |
703 |
638 |
$60K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
299 |
287 |
$17K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
285 |
275 |
$16K |
| 92587 |
|
725 |
705 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
933 |
871 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
193 |
184 |
$11K |
| 97803 |
|
606 |
590 |
$8K |
| 99177 |
|
795 |
771 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
248 |
206 |
$6K |
| 99051 |
|
249 |
237 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
76 |
64 |
$4K |
| 96127 |
|
638 |
606 |
$2K |
| 90461 |
|
558 |
543 |
$2K |
| 99173 |
|
58 |
55 |
$126.00 |
| 90686 |
|
364 |
357 |
$45.23 |
| 90688 |
|
398 |
395 |
$21.83 |
| 90734 |
|
29 |
28 |
$0.14 |
| 90715 |
|
15 |
15 |
$0.13 |
| 90670 |
|
39 |
38 |
$0.00 |
| 90685 |
|
14 |
14 |
$0.00 |