| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,083 |
2,507 |
$235K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,400 |
990 |
$97K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,022 |
1,556 |
$97K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,093 |
783 |
$85K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
592 |
432 |
$46K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
205 |
151 |
$18K |
| 90686 |
|
936 |
746 |
$10K |
| 90670 |
|
366 |
295 |
$6K |
| 90651 |
|
138 |
80 |
$5K |
| 90698 |
|
284 |
210 |
$3K |
| 90656 |
|
85 |
84 |
$1K |
| 87430 |
|
88 |
79 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
59 |
48 |
$942.28 |
| 90680 |
|
65 |
50 |
$898.26 |
| 90619 |
|
43 |
28 |
$695.33 |
| 90715 |
|
36 |
15 |
$555.11 |
| 90677 |
|
26 |
25 |
$435.42 |
| 90633 |
|
25 |
14 |
$361.18 |
| 90685 |
|
36 |
28 |
$254.64 |
| 90710 |
|
14 |
14 |
$239.44 |
| 90696 |
|
13 |
13 |
$222.23 |
| 90697 |
|
14 |
12 |
$220.73 |
| 90744 |
|
17 |
12 |
$163.93 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,791 |
1,177 |
$13.18 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$0.00 |
| 90461 |
|
640 |
348 |
$0.00 |