| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,597 |
4,251 |
$266K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,101 |
1,968 |
$79K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,028 |
1,371 |
$50K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
798 |
759 |
$41K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,805 |
1,703 |
$20K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
346 |
338 |
$20K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
713 |
338 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
100 |
95 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
227 |
219 |
$4K |
| 99050 |
|
155 |
152 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
72 |
66 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
176 |
149 |
$1K |
| 99381 |
|
14 |
13 |
$800.69 |
| 92551 |
|
93 |
91 |
$529.54 |
| 99173 |
|
144 |
140 |
$315.62 |
| 90670 |
|
555 |
535 |
$241.82 |
| 96127 |
|
29 |
26 |
$104.05 |
| 90698 |
|
564 |
547 |
$89.91 |
| 90686 |
|
421 |
410 |
$82.22 |
| 90680 |
|
406 |
392 |
$10.63 |
| 90633 |
|
39 |
39 |
$0.37 |
| 90688 |
|
54 |
49 |
$0.01 |
| 90744 |
|
68 |
67 |
$0.01 |
| 94760 |
|
28 |
26 |
$0.00 |
| 90685 |
|
58 |
57 |
$0.00 |