| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,264 |
1,930 |
$211K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,360 |
1,140 |
$84K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15 |
14 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
357 |
342 |
$1K |
| 94760 |
|
1,262 |
1,066 |
$122.66 |
| 87400 |
|
79 |
30 |
$19.98 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
27 |
26 |
$9.92 |
| 99072 |
|
85 |
84 |
$0.00 |
| 97803 |
|
28 |
27 |
$0.00 |
| 99401 |
|
29 |
29 |
$0.00 |
| 99173 |
|
24 |
24 |
$0.00 |
| 90670 |
|
13 |
12 |
$0.00 |
| 90687 |
|
13 |
12 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
142 |
129 |
$0.00 |
| 90686 |
|
70 |
64 |
$0.00 |
| 92551 |
|
16 |
13 |
$0.00 |
| 96127 |
|
14 |
12 |
$0.00 |