| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,001 |
2,537 |
$154K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,059 |
3,853 |
$71K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,538 |
4,785 |
$58K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,175 |
1,143 |
$48K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
773 |
738 |
$33K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,991 |
1,822 |
$30K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
735 |
707 |
$27K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
357 |
322 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,503 |
1,434 |
$12K |
| 90461 |
|
1,868 |
693 |
$10K |
| 90686 |
|
899 |
834 |
$6K |
| 90671 |
|
32 |
28 |
$3K |
| 90651 |
|
29 |
28 |
$2K |
| 90734 |
|
43 |
42 |
$1K |
| 99173 |
|
808 |
759 |
$787.27 |
| 0072A |
|
21 |
21 |
$630.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
358 |
349 |
$553.84 |
| 0011A |
|
15 |
14 |
$460.00 |
| 90685 |
|
86 |
83 |
$359.90 |
| 99422 |
|
18 |
16 |
$200.87 |
| 90672 |
|
36 |
36 |
$197.60 |
| 97802 |
|
536 |
507 |
$171.95 |
| 90633 |
|
12 |
12 |
$152.14 |
| 83655 |
|
15 |
15 |
$133.50 |
| 90660 |
|
21 |
17 |
$129.29 |
| 36416 |
|
13 |
12 |
$100.00 |
| 90715 |
|
13 |
13 |
$99.39 |
| 0071A |
|
15 |
15 |
$40.00 |
| 90648 |
|
12 |
12 |
$38.64 |
| A4208 |
Syringe with needle, sterile 3 cc, each |
2,546 |
2,051 |
$0.26 |
| 99000 |
|
148 |
142 |
$0.00 |
| 91301 |
|
14 |
14 |
$0.00 |
| 91307 |
|
35 |
31 |
$0.00 |
| S9470 |
Nutritional counseling, dietitian visit |
25 |
21 |
$0.00 |