| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,988 |
4,541 |
$249K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
815 |
788 |
$68K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,868 |
1,747 |
$66K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
784 |
772 |
$62K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
664 |
651 |
$51K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,703 |
2,136 |
$41K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
334 |
312 |
$23K |
| 90461 |
|
2,420 |
744 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
364 |
362 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
106 |
106 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
65 |
32 |
$764.50 |
| 92567 |
|
14 |
14 |
$188.58 |
| 90686 |
|
932 |
908 |
$1.16 |
| 90734 |
|
198 |
191 |
$0.09 |
| 90670 |
|
263 |
257 |
$0.08 |
| 90650 |
|
115 |
112 |
$0.04 |
| 90648 |
|
251 |
245 |
$0.04 |
| 90633 |
|
64 |
64 |
$0.02 |
| 90707 |
|
105 |
104 |
$0.02 |
| 90715 |
|
42 |
41 |
$0.02 |
| 90716 |
|
130 |
129 |
$0.01 |
| 90651 |
|
50 |
49 |
$0.01 |
| 90680 |
|
81 |
80 |
$0.00 |
| 90696 |
|
28 |
28 |
$0.00 |
| 90723 |
|
84 |
83 |
$0.00 |