| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
298 |
282 |
$32K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
307 |
285 |
$23K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
116 |
116 |
$12K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
255 |
253 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
216 |
214 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
42 |
42 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
177 |
173 |
$3K |
| 87428 |
|
32 |
32 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
24 |
24 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 96127 |
|
40 |
39 |
$240.38 |
| 85018 |
|
44 |
44 |
$137.76 |
| 81003 |
|
31 |
29 |
$96.41 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
13 |
$90.65 |
| 92551 |
|
22 |
22 |
$8.86 |
| 90686 |
|
76 |
76 |
$2.44 |
| 99173 |
|
54 |
54 |
$0.41 |
| 36415 |
Collection of venous blood by venipuncture |
80 |
79 |
$0.00 |
| 36416 |
|
43 |
42 |
$0.00 |