| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,594 |
1,403 |
$102K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,341 |
1,161 |
$35K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
524 |
500 |
$29K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
661 |
586 |
$27K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
360 |
317 |
$16K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
184 |
175 |
$10K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,046 |
974 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
236 |
226 |
$3K |
| 90670 |
|
214 |
194 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
134 |
129 |
$1K |
| 90698 |
|
161 |
146 |
$1K |
| 90686 |
|
220 |
214 |
$894.08 |
| 99174 |
|
13 |
13 |
$155.34 |
| 90680 |
|
32 |
26 |
$30.00 |
| 90461 |
|
483 |
451 |
$21.00 |
| 99000 |
|
444 |
411 |
$0.00 |
| 99072 |
|
193 |
174 |
$0.00 |
| 90710 |
|
15 |
15 |
$0.00 |
| 90685 |
|
32 |
32 |
$0.00 |