| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
878 |
821 |
$43K |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
65 |
13 |
$24K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
393 |
369 |
$14K |
| 99000 |
|
783 |
719 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
89 |
89 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
587 |
555 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
81 |
81 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
489 |
243 |
$6K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
80 |
79 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
62 |
62 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
68 |
65 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
344 |
153 |
$4K |
| 99460 |
|
54 |
53 |
$4K |
| 99462 |
|
47 |
41 |
$2K |
| 90461 |
|
445 |
109 |
$910.85 |
| 92551 |
|
163 |
161 |
$534.24 |
| 87807 |
|
35 |
33 |
$341.00 |
| 90473 |
|
18 |
18 |
$207.63 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
24 |
19 |
$170.95 |
| 90619 |
|
15 |
14 |
$159.68 |
| 83655 |
|
12 |
12 |
$81.36 |
| 81002 |
|
12 |
12 |
$32.12 |
| 90697 |
|
34 |
33 |
$0.17 |
| 36416 |
|
23 |
21 |
$0.00 |
| 90686 |
|
16 |
16 |
$0.00 |
| 90651 |
|
13 |
12 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
22 |
21 |
$0.00 |
| 90670 |
|
39 |
38 |
$0.00 |
| 99173 |
|
162 |
160 |
$0.00 |
| 90672 |
|
36 |
35 |
$0.00 |
| 90633 |
|
13 |
13 |
$0.00 |
| 90710 |
|
14 |
14 |
$0.00 |