| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,701 |
2,246 |
$198K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,198 |
1,888 |
$108K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
515 |
457 |
$38K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
439 |
378 |
$29K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
416 |
348 |
$29K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
246 |
212 |
$19K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
401 |
337 |
$6K |
| 99215 |
Prolong outpt/office vis |
78 |
74 |
$6K |
| 90686 |
|
266 |
234 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
84 |
81 |
$3K |
| 83655 |
|
151 |
146 |
$2K |
| 90670 |
|
108 |
97 |
$1K |
| 90723 |
|
67 |
60 |
$700.09 |
| 90671 |
|
31 |
26 |
$625.41 |
| 90715 |
|
43 |
37 |
$457.35 |
| 90656 |
|
24 |
19 |
$388.51 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
16 |
12 |
$385.91 |
| 90647 |
|
56 |
46 |
$353.54 |
| 96127 |
|
23 |
23 |
$276.00 |
| 85018 |
|
114 |
108 |
$255.20 |
| 87807 |
|
27 |
24 |
$254.52 |
| 90710 |
|
35 |
33 |
$234.80 |
| 90680 |
|
14 |
13 |
$233.94 |
| 90734 |
|
34 |
28 |
$220.95 |
| 90696 |
|
29 |
28 |
$196.40 |
| 90651 |
|
24 |
16 |
$158.08 |
| 99173 |
|
14 |
13 |
$104.30 |
| 81002 |
|
18 |
12 |
$46.80 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
18 |
12 |
$21.87 |