| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,111 |
1,028 |
$84K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,146 |
1,086 |
$55K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
500 |
420 |
$39K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
412 |
315 |
$28K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
270 |
233 |
$21K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
108 |
84 |
$9K |
| 90686 |
|
596 |
544 |
$7K |
| 90670 |
|
203 |
153 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
31 |
31 |
$2K |
| 81002 |
|
739 |
618 |
$2K |
| 90656 |
|
70 |
67 |
$1K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
21 |
21 |
$982.35 |
| 90619 |
|
58 |
26 |
$949.18 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
26 |
25 |
$420.47 |
| 85018 |
|
78 |
52 |
$179.90 |
| 90698 |
|
27 |
25 |
$172.80 |
| 90633 |
|
22 |
15 |
$142.08 |
| 90680 |
|
14 |
13 |
$89.60 |
| 81001 |
|
15 |
13 |
$40.36 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,230 |
968 |
$0.00 |
| 90461 |
|
393 |
275 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
40 |
37 |
$0.00 |