| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,849 |
4,189 |
$226K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,884 |
4,224 |
$150K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,213 |
1,164 |
$95K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,052 |
1,020 |
$75K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,536 |
3,304 |
$61K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
831 |
792 |
$60K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
433 |
428 |
$21K |
| 90670 |
|
83 |
83 |
$4K |
| 99188 |
|
592 |
568 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
292 |
259 |
$3K |
| 99383 |
|
31 |
26 |
$2K |
| 90686 |
|
299 |
296 |
$1K |
| 99401 |
|
2,308 |
2,170 |
$1K |
| H0049 |
Alcohol and/or drug screening |
59 |
50 |
$865.31 |
| 83655 |
|
291 |
278 |
$620.04 |
| 90651 |
|
64 |
64 |
$290.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
102 |
101 |
$228.20 |
| 90620 |
|
26 |
25 |
$130.00 |
| 90634 |
|
26 |
26 |
$120.00 |
| 90734 |
|
28 |
28 |
$30.00 |
| 90700 |
|
12 |
12 |
$10.00 |
| 90674 |
|
49 |
46 |
$10.00 |
| 96160 |
|
879 |
678 |
$0.00 |
| G9920 |
Screening performed and negative |
35 |
26 |
$0.00 |
| 90648 |
|
12 |
12 |
$0.00 |
| 96127 |
|
300 |
218 |
$0.00 |
| 90688 |
|
262 |
260 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
684 |
523 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |