| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,421 |
5,561 |
$493K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,360 |
5,367 |
$307K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,799 |
1,529 |
$137K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,558 |
1,448 |
$118K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,372 |
1,269 |
$114K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,327 |
1,137 |
$91K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,504 |
4,811 |
$86K |
| 92551 |
|
4,460 |
4,089 |
$68K |
| 87428 |
|
701 |
639 |
$45K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,178 |
1,802 |
$39K |
| 96160 |
|
1,477 |
1,348 |
$22K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
689 |
372 |
$14K |
| 99173 |
|
1,980 |
1,830 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
530 |
499 |
$13K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
877 |
750 |
$10K |
| 90734 |
|
555 |
473 |
$10K |
| 90670 |
|
673 |
574 |
$10K |
| 90698 |
|
371 |
313 |
$4K |
| 99000 |
|
151 |
131 |
$3K |
| 96127 |
|
213 |
198 |
$3K |
| 90686 |
|
327 |
300 |
$3K |
| 90716 |
|
161 |
122 |
$2K |
| 90715 |
|
117 |
100 |
$2K |
| 90707 |
|
131 |
91 |
$2K |
| 83655 |
|
105 |
82 |
$1K |
| 87807 |
|
95 |
81 |
$955.70 |
| 85018 |
|
397 |
334 |
$918.72 |
| 90744 |
|
78 |
75 |
$837.41 |
| 90633 |
|
82 |
64 |
$782.55 |
| 90681 |
|
34 |
26 |
$297.68 |
| 90677 |
|
14 |
13 |
$233.94 |
| 90651 |
|
12 |
12 |
$200.52 |
| 99406 |
|
14 |
14 |
$105.00 |
| 90696 |
|
13 |
12 |
$83.20 |
| 1003F |
|
2,060 |
1,895 |
$0.00 |
| 3725F |
|
711 |
650 |
$0.00 |
| 4035F |
|
186 |
159 |
$0.00 |
| 3210F |
|
1,510 |
1,320 |
$0.00 |
| 4120F |
|
58 |
58 |
$0.00 |
| 99072 |
|
19 |
12 |
$0.00 |
| 1036F |
|
496 |
473 |
$0.00 |
| 3351F |
|
635 |
590 |
$0.00 |
| 2010F |
|
228 |
200 |
$0.00 |
| 97802 |
|
110 |
88 |
$0.00 |
| 2001F |
|
41 |
41 |
$0.00 |