| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,323 |
4,016 |
$299K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,670 |
2,500 |
$122K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,536 |
3,394 |
$116K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
996 |
954 |
$74K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
647 |
629 |
$46K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
369 |
367 |
$30K |
| 90461 |
|
477 |
461 |
$14K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
338 |
333 |
$5K |
| 83655 |
|
487 |
470 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
302 |
278 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
28 |
27 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
104 |
102 |
$2K |
| 94760 |
|
995 |
884 |
$1K |
| 96127 |
|
61 |
60 |
$222.82 |
| 36416 |
|
691 |
617 |
$170.46 |
| 90686 |
|
629 |
582 |
$119.49 |
| 98968 |
|
154 |
147 |
$33.61 |
| T1016 |
Case management, each 15 minutes |
335 |
316 |
$20.47 |
| 99490 |
Ccm add 20min |
82 |
78 |
$13.05 |
| 99072 |
|
82 |
77 |
$0.00 |
| 90670 |
|
217 |
194 |
$0.00 |
| 90633 |
|
15 |
14 |
$0.00 |
| 90707 |
|
18 |
18 |
$0.00 |
| 90698 |
|
99 |
87 |
$0.00 |
| 90680 |
|
54 |
48 |
$0.00 |
| 98967 |
|
26 |
23 |
$0.00 |
| 90716 |
|
17 |
17 |
$0.00 |
| 90688 |
|
34 |
34 |
$0.00 |