| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,434 |
5,897 |
$593K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,048 |
6,424 |
$426K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,466 |
1,464 |
$113K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
842 |
842 |
$69K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
737 |
732 |
$57K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
843 |
731 |
$54K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,394 |
1,379 |
$21K |
| 92551 |
|
2,933 |
2,927 |
$18K |
| 99215 |
Prolong outpt/office vis |
114 |
107 |
$15K |
| 81002 |
|
1,292 |
1,276 |
$3K |
| 96127 |
|
870 |
868 |
$3K |
| 99496 |
|
12 |
12 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
54 |
53 |
$692.43 |
| 99173 |
|
2,523 |
2,517 |
$265.17 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
19 |
18 |
$233.07 |
| 90716 |
|
73 |
73 |
$176.20 |
| 90461 |
|
615 |
610 |
$133.00 |
| 99051 |
|
16 |
15 |
$50.00 |
| 90686 |
|
197 |
197 |
$19.03 |
| 3725F |
|
768 |
766 |
$0.00 |
| 90670 |
|
318 |
316 |
$0.00 |
| 90707 |
|
85 |
85 |
$0.00 |
| 90633 |
|
38 |
38 |
$0.00 |
| 90734 |
|
61 |
58 |
$0.00 |
| 90648 |
|
12 |
12 |
$0.00 |
| 90685 |
|
14 |
14 |
$0.00 |
| 90715 |
|
17 |
15 |
$0.00 |
| 90698 |
|
159 |
158 |
$0.00 |
| 90680 |
|
42 |
40 |
$0.00 |
| 90688 |
|
19 |
17 |
$0.00 |
| 90651 |
|
32 |
30 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |