| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
690 |
612 |
$51K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
919 |
822 |
$44K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
363 |
353 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
45 |
45 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
136 |
136 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
214 |
204 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
28 |
27 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
24 |
24 |
$1K |
| 99401 |
|
60 |
57 |
$1K |
| 92567 |
|
109 |
109 |
$722.33 |
| 92587 |
|
33 |
33 |
$678.88 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$467.70 |
| 90461 |
|
35 |
34 |
$390.10 |
| 90707 |
|
12 |
12 |
$240.19 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$131.84 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
14 |
14 |
$108.14 |
| 99177 |
|
12 |
12 |
$75.28 |
| 87400 |
|
98 |
94 |
$50.00 |
| 90686 |
|
14 |
13 |
$35.51 |
| 97802 |
|
22 |
18 |
$35.10 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
23 |
22 |
$5.00 |
| 99000 |
|
98 |
94 |
$0.00 |