| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,408 |
2,088 |
$202K |
| 99215 |
Prolong outpt/office vis |
915 |
758 |
$110K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
742 |
678 |
$41K |
| 90686 |
|
845 |
827 |
$10K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
683 |
641 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
73 |
67 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
171 |
158 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
59 |
58 |
$4K |
| 92551 |
|
410 |
404 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,774 |
1,694 |
$3K |
| 99174 |
|
351 |
344 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
91 |
86 |
$1K |
| 99173 |
|
259 |
245 |
$579.78 |
| 90461 |
|
187 |
176 |
$332.28 |
| 90685 |
|
23 |
18 |
$214.86 |
| 92587 |
|
15 |
14 |
$39.40 |