| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,626 |
1,470 |
$56K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
460 |
397 |
$30K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
418 |
415 |
$29K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,076 |
992 |
$27K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
346 |
330 |
$22K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
262 |
250 |
$17K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
760 |
729 |
$12K |
| 90670 |
|
70 |
64 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
15 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
94 |
87 |
$565.59 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
12 |
$321.69 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
17 |
14 |
$9.93 |
| 90715 |
|
41 |
40 |
$0.05 |
| 90671 |
|
96 |
96 |
$0.00 |
| 90710 |
|
55 |
54 |
$0.00 |
| 90461 |
|
17 |
15 |
$0.00 |
| 90697 |
|
51 |
49 |
$0.00 |
| 96127 |
|
34 |
34 |
$0.00 |
| 90696 |
|
28 |
27 |
$0.00 |
| 90680 |
|
15 |
15 |
$0.00 |