| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
851 |
746 |
$88K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
675 |
604 |
$45K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
131 |
124 |
$23K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
91 |
90 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
26 |
26 |
$4K |
| 90686 |
|
260 |
255 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
849 |
775 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
13 |
$756.07 |
| 85018 |
|
496 |
457 |
$513.63 |
| 36416 |
|
483 |
451 |
$475.48 |
| 90651 |
|
13 |
13 |
$310.44 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
82 |
68 |
$248.61 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
44 |
16 |
$143.69 |
| 96127 |
|
414 |
337 |
$72.92 |
| 96160 |
|
115 |
105 |
$48.60 |
| 99188 |
|
100 |
97 |
$20.47 |
| 99173 |
|
301 |
292 |
$8.15 |
| 92551 |
|
73 |
67 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
289 |
233 |
$0.00 |
| 99051 |
|
23 |
18 |
$0.00 |
| 90461 |
|
59 |
56 |
$0.00 |