| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,725 |
1,582 |
$118K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
754 |
704 |
$33K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
159 |
158 |
$12K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
128 |
127 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
85 |
85 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
75 |
75 |
$6K |
| 92552 |
|
316 |
311 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
218 |
213 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
189 |
185 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
183 |
179 |
$3K |
| 99173 |
|
297 |
293 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
30 |
28 |
$692.55 |
| 83655 |
|
52 |
52 |
$616.72 |
| 90686 |
|
89 |
88 |
$545.93 |
| 90670 |
|
85 |
85 |
$544.00 |
| 90633 |
|
68 |
67 |
$483.24 |
| 96127 |
|
19 |
19 |
$263.04 |
| 90723 |
|
30 |
30 |
$192.00 |
| 90648 |
|
27 |
27 |
$172.80 |
| 85018 |
|
57 |
57 |
$129.92 |
| 90734 |
|
21 |
21 |
$115.20 |
| 90649 |
|
16 |
16 |
$102.40 |
| 90707 |
|
15 |
15 |
$89.60 |
| 90696 |
|
15 |
15 |
$89.60 |
| 90716 |
|
14 |
14 |
$83.20 |
| 90715 |
|
14 |
14 |
$76.80 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
533 |
313 |
$0.00 |
| 90461 |
|
81 |
75 |
$0.00 |