| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
295 |
281 |
$24K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
349 |
331 |
$19K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
122 |
106 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
89 |
83 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
44 |
42 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
30 |
29 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
309 |
238 |
$2K |
| 92551 |
|
164 |
155 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
118 |
57 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
104 |
103 |
$1K |
| 90670 |
|
46 |
41 |
$931.10 |
| 83655 |
|
73 |
63 |
$894.87 |
| 90651 |
|
19 |
17 |
$893.21 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
280 |
253 |
$888.93 |
| 90734 |
|
18 |
17 |
$534.52 |
| 99174 |
|
99 |
84 |
$490.96 |
| 90461 |
|
163 |
145 |
$411.40 |
| 85014 |
|
104 |
89 |
$244.80 |
| 99173 |
|
108 |
102 |
$214.97 |
| 36416 |
|
143 |
124 |
$77.00 |
| 99000 |
|
75 |
71 |
$3.86 |
| 94760 |
|
103 |
99 |
$0.00 |