| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,386 |
2,276 |
$247K |
| 99215 |
Prolong outpt/office vis |
1,280 |
1,222 |
$186K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,490 |
1,420 |
$107K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,954 |
1,931 |
$73K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,323 |
2,294 |
$20K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
176 |
176 |
$17K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
116 |
116 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
547 |
532 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
195 |
187 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
56 |
56 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
24 |
24 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
81 |
80 |
$2K |
| 99173 |
|
322 |
322 |
$795.96 |
| 90686 |
|
583 |
583 |
$19.22 |
| 90671 |
|
12 |
12 |
$0.00 |
| 90670 |
|
64 |
63 |
$0.00 |
| 90734 |
|
13 |
13 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 90685 |
|
47 |
47 |
$0.00 |
| 90698 |
|
74 |
74 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |