| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
899 |
866 |
$76K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,109 |
1,068 |
$62K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
224 |
224 |
$19K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
168 |
168 |
$13K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
606 |
606 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
84 |
84 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
26 |
26 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
373 |
369 |
$2K |
| 99051 |
|
249 |
246 |
$1K |
| 87081 |
|
207 |
203 |
$1K |
| 92551 |
|
52 |
52 |
$364.10 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
24 |
24 |
$250.20 |
| 96127 |
|
56 |
56 |
$240.99 |
| 83655 |
|
16 |
16 |
$240.00 |
| 81002 |
|
63 |
62 |
$136.48 |
| 87088 |
|
12 |
12 |
$112.69 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
45 |
45 |
$86.40 |
| 94760 |
|
94 |
92 |
$70.98 |
| 90670 |
|
126 |
126 |
$0.00 |
| 90685 |
|
28 |
28 |
$0.00 |
| 90633 |
|
14 |
14 |
$0.00 |
| 90680 |
|
28 |
28 |
$0.00 |
| 90686 |
|
103 |
103 |
$0.00 |
| 90698 |
|
82 |
82 |
$0.00 |