| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,462 |
1,335 |
$94K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,307 |
1,221 |
$66K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,447 |
1,428 |
$63K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
618 |
611 |
$40K |
| 92567 |
|
3,474 |
3,081 |
$36K |
| 92552 |
|
2,207 |
1,959 |
$33K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
513 |
502 |
$30K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
241 |
240 |
$16K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
46 |
46 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
274 |
273 |
$3K |
| 90658 |
|
164 |
162 |
$3K |
| 86580 |
|
394 |
391 |
$2K |
| 81002 |
|
637 |
623 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
157 |
156 |
$981.68 |
| 69210 |
|
72 |
72 |
$910.20 |
| 83655 |
|
98 |
97 |
$681.06 |
| 36415 |
Collection of venous blood by venipuncture |
1,190 |
1,172 |
$586.69 |
| 81000 |
|
81 |
81 |
$172.86 |
| 87070 |
|
143 |
142 |
$24.65 |
| 90680 |
|
12 |
12 |
$0.00 |
| 99080 |
|
172 |
70 |
$0.00 |
| 90670 |
|
140 |
140 |
$0.00 |