| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,606 |
2,415 |
$125K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,720 |
2,517 |
$93K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
796 |
761 |
$58K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
554 |
494 |
$38K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,358 |
1,469 |
$29K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
194 |
180 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
950 |
891 |
$11K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,312 |
1,185 |
$9K |
| 90461 |
|
830 |
696 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
41 |
40 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
91 |
82 |
$2K |
| 90686 |
|
420 |
399 |
$19.27 |
| 90670 |
|
238 |
235 |
$0.01 |
| 90648 |
|
227 |
223 |
$0.00 |
| 90633 |
|
16 |
16 |
$0.00 |
| 90681 |
|
25 |
25 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 90723 |
|
70 |
70 |
$0.00 |