| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,540 |
2,287 |
$214K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,518 |
1,404 |
$96K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
451 |
442 |
$37K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
435 |
426 |
$36K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,754 |
1,683 |
$23K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
730 |
718 |
$21K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
197 |
197 |
$16K |
| 99401 |
|
404 |
383 |
$11K |
| 81002 |
|
1,674 |
1,619 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
670 |
652 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
184 |
163 |
$3K |
| 96127 |
|
406 |
359 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
72 |
35 |
$1K |
| 85018 |
|
456 |
444 |
$1K |
| 0071A |
|
62 |
31 |
$1K |
| 99173 |
|
1,451 |
1,411 |
$213.52 |
| 90656 |
|
28 |
28 |
$1.53 |
| 99072 |
|
425 |
393 |
$0.00 |
| 90700 |
|
39 |
39 |
$0.00 |
| 90713 |
|
12 |
12 |
$0.00 |
| 90686 |
|
968 |
949 |
$0.00 |
| 90651 |
|
27 |
27 |
$0.00 |