| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,128 |
1,056 |
$68K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,026 |
975 |
$49K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
492 |
461 |
$31K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
346 |
333 |
$22K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
468 |
441 |
$18K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
169 |
166 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
134 |
132 |
$8K |
| 92551 |
|
324 |
317 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
142 |
138 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
51 |
48 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
159 |
155 |
$1K |
| 99173 |
|
232 |
226 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
66 |
32 |
$982.74 |
| 83655 |
|
12 |
12 |
$128.70 |
| 85018 |
|
59 |
56 |
$73.36 |
| 90461 |
|
610 |
580 |
$0.00 |
| 90670 |
|
370 |
353 |
$0.00 |
| 90707 |
|
74 |
72 |
$0.00 |
| 90734 |
|
47 |
43 |
$0.00 |
| 90685 |
|
85 |
81 |
$0.00 |
| 90633 |
|
60 |
59 |
$0.00 |
| 90713 |
|
16 |
16 |
$0.00 |
| 90700 |
|
63 |
61 |
$0.00 |
| 90715 |
|
36 |
34 |
$0.00 |
| 90651 |
|
55 |
51 |
$0.00 |
| 90680 |
|
144 |
139 |
$0.00 |
| 90686 |
|
252 |
243 |
$0.00 |
| 90698 |
|
221 |
214 |
$0.00 |
| 90744 |
|
68 |
66 |
$0.00 |
| 90716 |
|
72 |
70 |
$0.00 |