| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,238 |
2,069 |
$189K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
605 |
594 |
$50K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
509 |
502 |
$46K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
317 |
311 |
$27K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,381 |
1,363 |
$21K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
309 |
295 |
$18K |
| 90461 |
|
923 |
913 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
125 |
125 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
334 |
161 |
$5K |
| 81002 |
|
645 |
629 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
37 |
37 |
$1K |
| G9153 |
Mapcp demonstration - physician incentive pool |
25 |
25 |
$750.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
45 |
44 |
$631.26 |
| 90723 |
|
26 |
26 |
$0.00 |
| 90686 |
|
265 |
263 |
$0.00 |
| 90647 |
|
25 |
25 |
$0.00 |
| 90670 |
|
105 |
104 |
$0.00 |