| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
835 |
785 |
$74K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
936 |
913 |
$37K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
379 |
379 |
$34K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
361 |
356 |
$31K |
| 99215 |
Prolong outpt/office vis |
91 |
90 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
122 |
122 |
$11K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,213 |
1,207 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
167 |
163 |
$9K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
143 |
135 |
$2K |
| 92551 |
|
249 |
249 |
$2K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
13 |
13 |
$1K |
| 99173 |
|
450 |
450 |
$1K |
| 99460 |
|
12 |
12 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
30 |
30 |
$841.20 |
| 96161 |
|
17 |
17 |
$85.00 |
| 96160 |
|
311 |
311 |
$0.00 |