| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,143 |
2,892 |
$236K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,730 |
2,446 |
$138K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,361 |
2,298 |
$104K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
973 |
899 |
$72K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
658 |
650 |
$52K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
444 |
435 |
$35K |
| 94667 |
|
1,011 |
940 |
$21K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
513 |
498 |
$17K |
| 99177 |
|
619 |
609 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
38 |
38 |
$3K |
| 86580 |
|
490 |
472 |
$3K |
| 99215 |
Prolong outpt/office vis |
34 |
26 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
241 |
216 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,057 |
994 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
317 |
152 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
54 |
49 |
$1K |
| 69210 |
|
19 |
14 |
$449.06 |
| 81000 |
|
194 |
181 |
$421.36 |
| 92285 |
|
19 |
19 |
$257.53 |
| 81003 |
|
81 |
79 |
$168.61 |
| 99000 |
|
16 |
14 |
$20.52 |
| 90713 |
|
264 |
253 |
$0.00 |
| 90648 |
|
259 |
243 |
$0.00 |
| 90685 |
|
16 |
15 |
$0.00 |
| 90670 |
|
233 |
220 |
$0.00 |
| 90700 |
|
406 |
386 |
$0.00 |
| 90707 |
|
15 |
13 |
$0.00 |
| 90686 |
|
370 |
348 |
$0.00 |
| 90680 |
|
68 |
63 |
$0.00 |
| 90716 |
|
13 |
12 |
$0.00 |
| 90744 |
|
14 |
13 |
$0.00 |
| 87070 |
|
27 |
13 |
$0.00 |