| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,315 |
1,122 |
$176K |
| 99215 |
Prolong outpt/office vis |
1,066 |
677 |
$142K |
| 99199 |
Unlisted special service, procedure or report |
25,241 |
25,144 |
$82K |
| 99354 |
|
166 |
154 |
$17K |
| 94644 |
|
616 |
512 |
$15K |
| 99070 |
|
1,696 |
1,314 |
$15K |
| 94150 |
|
810 |
649 |
$14K |
| 94664 |
|
1,074 |
846 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
650 |
245 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
500 |
471 |
$7K |
| 99058 |
|
362 |
296 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
579 |
534 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
409 |
311 |
$5K |
| 92553 |
|
231 |
214 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
44 |
40 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
27 |
27 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
14 |
$2K |
| 92551 |
|
273 |
252 |
$1K |
| 99173 |
|
534 |
494 |
$4.10 |
| 90649 |
|
12 |
12 |
$1.11 |
| 90656 |
|
320 |
310 |
$0.00 |