| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,129 |
1,962 |
$175K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,790 |
2,512 |
$162K |
| 99215 |
Prolong outpt/office vis |
452 |
434 |
$49K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
386 |
381 |
$34K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
94 |
93 |
$22K |
| 99354 |
|
246 |
238 |
$18K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
156 |
155 |
$13K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
135 |
132 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
128 |
127 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
166 |
163 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
46 |
46 |
$6K |
| 69210 |
|
204 |
180 |
$5K |
| 86328 |
|
113 |
98 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
342 |
266 |
$2K |
| 96127 |
|
595 |
458 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
121 |
120 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
88 |
79 |
$2K |
| 90686 |
|
118 |
117 |
$1K |
| 90698 |
|
69 |
69 |
$870.84 |
| 17110 |
|
13 |
12 |
$858.00 |
| 90670 |
|
59 |
58 |
$737.87 |
| 90710 |
|
19 |
19 |
$288.51 |
| 90707 |
|
13 |
13 |
$211.51 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
16 |
14 |
$179.20 |
| 99173 |
|
65 |
65 |
$96.76 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
117 |
112 |
$8.20 |
| 90461 |
|
41 |
24 |
$7.40 |
| 3008F |
|
265 |
260 |
$0.00 |