| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,494 |
6,222 |
$337K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,834 |
3,707 |
$135K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,632 |
1,615 |
$113K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,560 |
1,552 |
$109K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,941 |
3,319 |
$85K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
579 |
576 |
$45K |
| 99429 |
|
1,234 |
1,228 |
$39K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,893 |
2,845 |
$39K |
| 99215 |
Prolong outpt/office vis |
423 |
417 |
$33K |
| 87428 |
|
775 |
761 |
$30K |
| 90677 |
|
396 |
374 |
$29K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,150 |
1,135 |
$27K |
| 99381 |
|
258 |
254 |
$19K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
218 |
218 |
$19K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,720 |
1,439 |
$14K |
| 90461 |
|
3,051 |
2,486 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
139 |
139 |
$8K |
| 99382 |
|
87 |
87 |
$8K |
| 87807 |
|
629 |
612 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
56 |
56 |
$5K |
| 99383 |
|
49 |
49 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
235 |
221 |
$3K |
| 92552 |
|
262 |
252 |
$2K |
| 99384 |
|
13 |
13 |
$604.78 |
| 90619 |
|
18 |
18 |
$300.00 |
| 96160 |
|
72 |
71 |
$47.25 |
| 90633 |
|
844 |
833 |
$0.00 |
| 90648 |
|
98 |
98 |
$0.00 |
| 90707 |
|
312 |
312 |
$0.00 |
| 90681 |
|
313 |
296 |
$0.00 |
| 90710 |
|
317 |
313 |
$0.00 |
| 90715 |
|
47 |
46 |
$0.00 |
| 90670 |
|
1,219 |
1,214 |
$0.00 |
| 99173 |
|
304 |
291 |
$0.00 |
| 90658 |
|
60 |
58 |
$0.00 |
| 90734 |
|
18 |
17 |
$0.00 |
| 90680 |
|
622 |
619 |
$0.00 |
| 90696 |
|
99 |
98 |
$0.00 |
| 90697 |
|
546 |
536 |
$0.00 |
| 90698 |
|
805 |
784 |
$0.00 |
| 90723 |
|
94 |
94 |
$0.00 |
| 96127 |
|
149 |
146 |
$0.00 |
| 90716 |
|
163 |
163 |
$0.00 |
| 90686 |
|
60 |
60 |
$0.00 |
| 90651 |
|
34 |
34 |
$0.00 |
| 90688 |
|
12 |
12 |
$0.00 |