| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,202 |
4,888 |
$404K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,338 |
5,976 |
$350K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,072 |
2,043 |
$247K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,539 |
1,512 |
$176K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,512 |
1,409 |
$169K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
6,079 |
5,139 |
$50K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
316 |
311 |
$39K |
| 90686 |
|
2,068 |
2,036 |
$34K |
| 90670 |
|
429 |
425 |
$8K |
| 99188 |
|
780 |
773 |
$8K |
| 96127 |
|
768 |
752 |
$4K |
| 96160 |
|
738 |
723 |
$4K |
| 90656 |
|
137 |
137 |
$3K |
| 90698 |
|
128 |
128 |
$2K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$2K |
| 0071A |
|
54 |
50 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
36 |
36 |
$2K |
| 90685 |
|
76 |
75 |
$2K |
| 90680 |
|
62 |
62 |
$1K |
| 0072A |
|
34 |
34 |
$1K |
| 90633 |
|
37 |
37 |
$790.56 |
| 90677 |
|
14 |
14 |
$307.44 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
24 |
12 |
$286.18 |
| 90651 |
|
12 |
12 |
$263.52 |
| 96161 |
|
27 |
25 |
$252.68 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15 |
15 |
$176.83 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
12 |
12 |
$10.92 |
| 91307 |
|
119 |
114 |
$0.00 |