| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,297 |
4,111 |
$252K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,352 |
4,154 |
$187K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,070 |
1,064 |
$37K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
875 |
861 |
$30K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
642 |
631 |
$20K |
| 90686 |
|
1,152 |
1,148 |
$10K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
382 |
316 |
$6K |
| 90670 |
|
558 |
555 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
106 |
106 |
$4K |
| 90698 |
|
244 |
242 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
385 |
373 |
$3K |
| 90680 |
|
275 |
274 |
$2K |
| 90656 |
|
152 |
150 |
$2K |
| 90688 |
|
109 |
109 |
$853.45 |
| 90480 |
|
38 |
34 |
$787.58 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
25 |
25 |
$729.39 |
| 90697 |
|
204 |
204 |
$692.76 |
| 90633 |
|
196 |
196 |
$558.46 |
| 90677 |
|
41 |
41 |
$508.94 |
| 90744 |
|
39 |
39 |
$505.94 |
| 96127 |
|
71 |
71 |
$287.02 |
| 94760 |
|
18 |
18 |
$3.96 |
| 99051 |
|
14 |
14 |
$0.00 |