| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,818 |
5,645 |
$607K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,686 |
1,671 |
$74K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
817 |
703 |
$47K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
495 |
492 |
$46K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
418 |
417 |
$36K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,289 |
1,289 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
543 |
520 |
$7K |
| 92587 |
|
306 |
304 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
132 |
129 |
$4K |
| 96127 |
|
678 |
678 |
$3K |
| 99215 |
Prolong outpt/office vis |
41 |
39 |
$3K |
| 87807 |
|
17 |
17 |
$186.40 |
| 90672 |
|
85 |
85 |
$1.00 |
| 90670 |
|
224 |
224 |
$0.00 |
| 90687 |
|
64 |
63 |
$0.00 |
| 90648 |
|
41 |
41 |
$0.00 |
| 90685 |
|
15 |
15 |
$0.00 |
| 90688 |
|
94 |
94 |
$0.00 |
| 90686 |
|
30 |
30 |
$0.00 |
| 90680 |
|
98 |
98 |
$0.00 |
| 90723 |
|
13 |
13 |
$0.00 |