| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,396 |
2,176 |
$226K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,902 |
1,878 |
$90K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
791 |
788 |
$80K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
820 |
758 |
$76K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,165 |
1,057 |
$74K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,202 |
1,189 |
$47K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
260 |
254 |
$25K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
153 |
153 |
$16K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
253 |
250 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
105 |
101 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
353 |
334 |
$3K |
| 99381 |
|
26 |
26 |
$3K |
| 94760 |
|
650 |
591 |
$2K |
| 92081 |
|
105 |
105 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
100 |
50 |
$859.78 |
| 92587 |
|
52 |
51 |
$407.40 |
| 99058 |
|
12 |
12 |
$216.58 |
| 90670 |
|
626 |
615 |
$104.41 |
| 90633 |
|
125 |
125 |
$0.00 |
| 90710 |
|
121 |
120 |
$0.00 |
| 90715 |
|
28 |
28 |
$0.00 |
| 90734 |
|
51 |
51 |
$0.00 |
| 90685 |
|
32 |
32 |
$0.00 |
| 90700 |
|
13 |
13 |
$0.00 |
| 90686 |
|
187 |
187 |
$0.00 |
| 90680 |
|
225 |
219 |
$0.00 |
| 90647 |
|
148 |
147 |
$0.00 |
| 90723 |
|
102 |
100 |
$0.00 |
| 90698 |
|
45 |
44 |
$0.00 |