| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,701 |
1,557 |
$122K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,391 |
1,256 |
$81K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
180 |
179 |
$15K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
500 |
474 |
$14K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
77 |
67 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
171 |
158 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
576 |
570 |
$5K |
| 90461 |
|
134 |
134 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
334 |
323 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
27 |
26 |
$3K |
| 87070 |
|
58 |
54 |
$3K |
| 99401 |
|
86 |
83 |
$3K |
| 96127 |
|
375 |
283 |
$2K |
| 99174 |
|
155 |
153 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
25 |
25 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
57 |
28 |
$798.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
63 |
63 |
$624.83 |
| 99050 |
|
14 |
14 |
$403.11 |
| 99177 |
|
84 |
72 |
$314.66 |
| 90686 |
|
606 |
285 |
$301.50 |
| 96160 |
|
28 |
27 |
$81.43 |
| 90685 |
|
101 |
49 |
$50.50 |
| 90672 |
|
27 |
12 |
$13.50 |