| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,609 |
11,421 |
$1.20M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,524 |
11,272 |
$1.07M |
| 92567 |
|
19,111 |
16,433 |
$259K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,397 |
1,394 |
$122K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
18,606 |
15,844 |
$118K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,510 |
4,438 |
$98K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,075 |
1,074 |
$93K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
454 |
454 |
$43K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
489 |
478 |
$39K |
| 99215 |
Prolong outpt/office vis |
291 |
279 |
$34K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,717 |
2,621 |
$32K |
| 81000 |
|
6,732 |
6,242 |
$21K |
| 86580 |
|
3,434 |
3,426 |
$20K |
| 92587 |
|
413 |
413 |
$12K |
| 90461 |
|
815 |
811 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
66 |
66 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
245 |
216 |
$9K |
| 82947 |
|
2,587 |
2,400 |
$8K |
| 88738 |
|
5,990 |
5,793 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,039 |
1,008 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
37 |
37 |
$4K |
| 99173 |
|
3,575 |
3,551 |
$4K |
| 90686 |
|
697 |
697 |
$2K |
| 93000 |
|
83 |
82 |
$1K |
| 90677 |
|
40 |
40 |
$1K |
| 0071A |
|
17 |
17 |
$549.13 |
| 90672 |
|
367 |
367 |
$517.11 |
| 0072A |
|
13 |
13 |
$430.32 |
| 90688 |
|
215 |
213 |
$261.96 |
| 91307 |
|
14 |
12 |
$0.10 |
| 90734 |
|
40 |
40 |
$0.00 |
| 90670 |
|
62 |
62 |
$0.00 |
| 90633 |
|
13 |
13 |
$0.00 |