| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,703 |
2,441 |
$240K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,990 |
1,807 |
$118K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
399 |
394 |
$42K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
395 |
372 |
$32K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
269 |
267 |
$25K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
123 |
123 |
$12K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
867 |
849 |
$11K |
| 99490 |
Ccm add 20min |
171 |
171 |
$7K |
| 90461 |
|
501 |
491 |
$6K |
| 99215 |
Prolong outpt/office vis |
37 |
31 |
$5K |
| 99051 |
|
835 |
766 |
$4K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
14 |
14 |
$3K |
| 99381 |
|
54 |
41 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
397 |
390 |
$2K |
| 99188 |
|
93 |
93 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
15 |
14 |
$85.05 |
| 90670 |
|
142 |
137 |
$0.00 |
| 90681 |
|
24 |
24 |
$0.00 |
| 90633 |
|
68 |
68 |
$0.00 |
| 90710 |
|
18 |
18 |
$0.00 |
| 90707 |
|
19 |
19 |
$0.00 |
| 90648 |
|
78 |
77 |
$0.00 |
| 90734 |
|
16 |
13 |
$0.00 |
| 99000 |
|
195 |
188 |
$0.00 |
| 90698 |
|
22 |
20 |
$0.00 |
| 90716 |
|
18 |
18 |
$0.00 |
| 90723 |
|
29 |
29 |
$0.00 |
| 90651 |
|
15 |
13 |
$0.00 |
| 90744 |
|
14 |
12 |
$0.00 |