| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,547 |
2,289 |
$246K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,081 |
1,874 |
$135K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,166 |
2,114 |
$41K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
337 |
337 |
$29K |
| 92587 |
|
1,204 |
1,204 |
$27K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
171 |
171 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
131 |
131 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,921 |
1,914 |
$8K |
| 97802 |
|
1,168 |
1,167 |
$7K |
| 90461 |
|
344 |
334 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
50 |
49 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
541 |
490 |
$3K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
196 |
195 |
$734.59 |
| 81003 |
|
443 |
443 |
$725.98 |
| S9451 |
Exercise classes, non-physician provider, per session |
1,147 |
1,145 |
$648.00 |
| 99172 |
|
1,226 |
1,225 |
$535.57 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$412.28 |
| 99173 |
|
1,206 |
1,203 |
$204.89 |
| 96127 |
|
20 |
20 |
$86.05 |
| 90686 |
|
290 |
289 |
$62.71 |
| 99000 |
|
258 |
233 |
$0.00 |
| 3008F |
|
1,261 |
1,165 |
$0.00 |
| 90677 |
|
12 |
12 |
$0.00 |
| 97804 |
|
13 |
13 |
$0.00 |
| 90619 |
|
14 |
14 |
$0.00 |
| 90670 |
|
12 |
12 |
$0.00 |