| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,173 |
2,914 |
$253K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,300 |
3,077 |
$182K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,198 |
3,178 |
$132K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,079 |
1,078 |
$90K |
| 90461 |
|
1,571 |
1,547 |
$87K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
994 |
979 |
$78K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
686 |
683 |
$56K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
227 |
227 |
$21K |
| 92552 |
|
275 |
273 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
338 |
333 |
$5K |
| 94760 |
|
3,491 |
3,045 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
113 |
113 |
$3K |
| 99173 |
|
464 |
456 |
$1K |
| 81002 |
|
16 |
14 |
$51.20 |
| 90716 |
|
69 |
66 |
$0.00 |
| 90698 |
|
254 |
241 |
$0.00 |
| 90686 |
|
641 |
638 |
$0.00 |
| 90680 |
|
248 |
232 |
$0.00 |
| 90688 |
|
383 |
327 |
$0.00 |
| 90744 |
|
24 |
24 |
$0.00 |
| 90656 |
|
24 |
12 |
$0.00 |
| 90670 |
|
503 |
489 |
$0.00 |
| 90671 |
|
110 |
109 |
$0.00 |
| 99072 |
|
481 |
460 |
$0.00 |
| 90633 |
|
25 |
24 |
$0.00 |
| 90687 |
|
37 |
37 |
$0.00 |
| 90700 |
|
16 |
14 |
$0.00 |
| 90707 |
|
16 |
14 |
$0.00 |