| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,087 |
13,512 |
$1.31M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,738 |
17,993 |
$1.30M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,066 |
4,022 |
$358K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,347 |
3,317 |
$238K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,532 |
2,512 |
$226K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,201 |
8,023 |
$208K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
10,586 |
10,467 |
$122K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,265 |
1,260 |
$117K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,991 |
5,597 |
$71K |
| 99381 |
|
251 |
249 |
$23K |
| 81002 |
|
3,353 |
3,259 |
$9K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
346 |
328 |
$4K |
| 99383 |
|
18 |
18 |
$2K |
| 90677 |
|
176 |
173 |
$2K |
| 99051 |
|
146 |
143 |
$2K |
| 99382 |
|
13 |
13 |
$1K |
| 90651 |
|
427 |
426 |
$0.00 |
| 90680 |
|
1,726 |
1,711 |
$0.00 |
| 90696 |
|
185 |
185 |
$0.00 |
| 90697 |
|
310 |
307 |
$0.00 |
| 90716 |
|
1,509 |
1,493 |
$0.00 |
| 90744 |
|
946 |
938 |
$0.00 |
| 90686 |
|
1,139 |
1,136 |
$0.00 |
| 90698 |
|
1,632 |
1,614 |
$0.00 |
| 90619 |
|
154 |
154 |
$0.00 |
| 90688 |
|
344 |
342 |
$0.00 |
| 90633 |
|
1,584 |
1,567 |
$0.00 |
| 90670 |
|
2,614 |
2,593 |
$0.00 |
| 90715 |
|
226 |
226 |
$0.00 |
| 90734 |
|
349 |
345 |
$0.00 |
| 90700 |
|
553 |
545 |
$0.00 |
| 90707 |
|
1,492 |
1,476 |
$0.00 |
| 90648 |
|
194 |
192 |
$0.00 |
| 90461 |
|
4,982 |
4,919 |
$0.00 |
| 90713 |
|
46 |
46 |
$0.00 |
| 90685 |
|
96 |
96 |
$0.00 |
| 90687 |
|
63 |
63 |
$0.00 |
| G9001 |
Coordinated care fee, initial rate |
13 |
13 |
$0.00 |