| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,518 |
642 |
$56K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
721 |
354 |
$19K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
731 |
341 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
155 |
68 |
$6K |
| 96127 |
|
1,448 |
382 |
$2K |
| 92567 |
|
462 |
163 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
542 |
236 |
$2K |
| 92583 |
|
54 |
28 |
$1K |
| 96160 |
|
537 |
242 |
$803.60 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
85 |
31 |
$754.82 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
224 |
94 |
$727.50 |
| 81002 |
|
659 |
254 |
$507.17 |
| 90686 |
|
229 |
127 |
$501.48 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
190 |
33 |
$405.00 |
| 92552 |
|
33 |
12 |
$350.55 |
| 99173 |
|
372 |
157 |
$270.93 |
| 85018 |
|
318 |
135 |
$259.25 |
| 36410 |
|
136 |
27 |
$231.44 |
| 88738 |
|
126 |
46 |
$179.55 |
| 36415 |
Collection of venous blood by venipuncture |
121 |
51 |
$58.41 |