| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,455 |
1,093 |
$76K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
929 |
782 |
$25K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
646 |
551 |
$14K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
177 |
159 |
$10K |
| 99177 |
|
896 |
793 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
59 |
55 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
34 |
27 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
91 |
85 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
46 |
42 |
$2K |
| 92551 |
|
253 |
222 |
$2K |
| 96127 |
|
403 |
348 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
13 |
$733.06 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
37 |
35 |
$514.76 |
| 96160 |
|
26 |
20 |
$448.72 |
| 90686 |
|
337 |
249 |
$282.55 |
| 90688 |
|
13 |
13 |
$0.00 |
| 90670 |
|
28 |
26 |
$0.00 |