| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,679 |
5,180 |
$480K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,116 |
7,377 |
$471K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
323 |
238 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
43 |
42 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
114 |
97 |
$4K |
| 99442 |
|
91 |
65 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
18 |
12 |
$2K |
| 99215 |
Prolong outpt/office vis |
18 |
13 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
87 |
76 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
17 |
12 |
$1K |
| 99443 |
|
23 |
19 |
$654.72 |
| 90688 |
|
52 |
30 |
$545.19 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
31 |
30 |
$461.70 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
18 |
15 |
$289.05 |