| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,416 |
1,148 |
$71K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
293 |
287 |
$32K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
148 |
145 |
$15K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
124 |
123 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
287 |
274 |
$12K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
18 |
13 |
$3K |
| 99215 |
Prolong outpt/office vis |
26 |
25 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
645 |
632 |
$375.88 |
| 99188 |
|
316 |
305 |
$218.83 |
| 99173 |
|
415 |
405 |
$140.60 |
| 90686 |
|
282 |
277 |
$60.00 |
| 90461 |
|
206 |
201 |
$30.00 |
| 90651 |
|
13 |
13 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
103 |
91 |
$0.00 |
| 85018 |
|
15 |
13 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
55 |
53 |
$0.00 |
| 92552 |
|
413 |
402 |
$0.00 |
| 81002 |
|
342 |
332 |
$0.00 |
| 90670 |
|
41 |
40 |
$0.00 |
| 90648 |
|
42 |
41 |
$0.00 |