| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,799 |
2,502 |
$262K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,025 |
1,778 |
$125K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
306 |
302 |
$35K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
314 |
314 |
$35K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,661 |
1,451 |
$16K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
89 |
89 |
$11K |
| 92567 |
|
104 |
99 |
$9K |
| 90461 |
|
233 |
224 |
$8K |
| 97802 |
|
450 |
441 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
14 |
14 |
$760.89 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
28 |
27 |
$69.44 |
| 92551 |
|
561 |
535 |
$59.38 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
34 |
28 |
$31.77 |
| 90686 |
|
165 |
162 |
$24.01 |
| 99173 |
|
472 |
452 |
$15.46 |
| 90670 |
|
13 |
13 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
51 |
28 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
506 |
484 |
$0.00 |
| 1036F |
|
15 |
13 |
$0.00 |