| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,392 |
2,153 |
$168K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,192 |
2,331 |
$93K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,930 |
1,685 |
$86K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
951 |
738 |
$68K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
715 |
569 |
$51K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
815 |
763 |
$39K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
603 |
466 |
$38K |
| 96160 |
|
2,455 |
957 |
$26K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
254 |
187 |
$19K |
| 92551 |
|
1,369 |
1,091 |
$10K |
| 99177 |
|
1,427 |
1,143 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
646 |
613 |
$7K |
| 99173 |
|
1,056 |
811 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
510 |
242 |
$5K |
| 83655 |
|
148 |
108 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
293 |
183 |
$596.69 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
18 |
13 |
$516.66 |
| 90670 |
|
466 |
377 |
$501.86 |
| 90461 |
|
1,268 |
838 |
$448.14 |
| 85018 |
|
208 |
140 |
$377.97 |
| 90716 |
|
111 |
79 |
$344.34 |
| 90686 |
|
552 |
453 |
$267.00 |
| 94664 |
|
15 |
15 |
$208.80 |
| 90707 |
|
126 |
93 |
$199.04 |
| 94760 |
|
149 |
138 |
$185.98 |
| 90633 |
|
177 |
120 |
$175.76 |
| 90685 |
|
146 |
126 |
$49.56 |
| 90688 |
|
250 |
174 |
$20.85 |
| 90680 |
|
146 |
130 |
$0.00 |
| 90698 |
|
284 |
221 |
$0.00 |
| 99000 |
|
402 |
319 |
$0.00 |
| 90651 |
|
21 |
21 |
$0.00 |
| 90744 |
|
32 |
29 |
$0.00 |
| 90734 |
|
19 |
17 |
$0.00 |
| 90687 |
|
26 |
16 |
$0.00 |
| 90715 |
|
14 |
14 |
$0.00 |