| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,864 |
5,159 |
$462K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,467 |
4,322 |
$184K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,108 |
1,965 |
$161K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,851 |
1,827 |
$152K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,024 |
1,769 |
$85K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,018 |
1,009 |
$85K |
| 90461 |
|
2,610 |
2,502 |
$80K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
190 |
189 |
$18K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
817 |
761 |
$11K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
392 |
384 |
$10K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
81 |
78 |
$4K |
| 99460 |
|
62 |
62 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
18 |
18 |
$1K |
| 99173 |
|
1,307 |
1,241 |
$1K |
| 99383 |
|
13 |
13 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
280 |
267 |
$785.91 |
| 90670 |
|
1,243 |
1,179 |
$297.64 |
| 96160 |
|
73 |
70 |
$205.86 |
| 90698 |
|
748 |
711 |
$59.35 |
| 90680 |
|
627 |
590 |
$39.07 |
| 90656 |
|
106 |
98 |
$16.83 |
| 90716 |
|
186 |
177 |
$10.10 |
| 90707 |
|
223 |
216 |
$10.10 |
| 90744 |
|
233 |
223 |
$7.87 |
| 90651 |
|
63 |
55 |
$0.00 |
| 90686 |
|
425 |
361 |
$0.00 |
| 90647 |
|
42 |
42 |
$0.00 |
| 90633 |
|
354 |
333 |
$0.00 |
| 90671 |
|
13 |
13 |
$0.00 |
| 90655 |
|
16 |
14 |
$0.00 |
| 90700 |
|
13 |
13 |
$0.00 |
| 90734 |
|
25 |
25 |
$0.00 |
| 90685 |
|
47 |
40 |
$0.00 |