| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,012 |
881 |
$47K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
378 |
377 |
$27K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
614 |
588 |
$20K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
270 |
269 |
$20K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
254 |
235 |
$18K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,267 |
984 |
$17K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
98 |
98 |
$7K |
| 99429 |
|
225 |
221 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
515 |
378 |
$4K |
| 90461 |
|
499 |
423 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
95 |
93 |
$1K |
| 99384 |
|
13 |
13 |
$1K |
| 99383 |
|
14 |
14 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
41 |
38 |
$937.74 |
| 96161 |
|
104 |
104 |
$236.87 |
| 90670 |
|
191 |
191 |
$0.00 |
| 90648 |
|
202 |
202 |
$0.00 |
| 90672 |
|
81 |
81 |
$0.00 |
| 90700 |
|
43 |
43 |
$0.00 |
| 90707 |
|
46 |
46 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 90734 |
|
17 |
17 |
$0.00 |
| 90633 |
|
17 |
17 |
$0.00 |
| 90686 |
|
447 |
447 |
$0.00 |
| 90716 |
|
46 |
46 |
$0.00 |
| 90723 |
|
53 |
53 |
$0.00 |
| 90651 |
|
25 |
25 |
$0.00 |