| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,643 |
2,397 |
$108K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,557 |
2,352 |
$102K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,673 |
2,605 |
$55K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,184 |
1,183 |
$29K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
679 |
679 |
$25K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,845 |
1,735 |
$24K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
556 |
556 |
$19K |
| 92587 |
|
723 |
716 |
$18K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
464 |
463 |
$18K |
| 90461 |
|
764 |
747 |
$12K |
| 99401 |
|
2,303 |
2,296 |
$7K |
| 90686 |
|
286 |
285 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
94 |
93 |
$3K |
| 90651 |
|
13 |
13 |
$2K |
| 99173 |
|
975 |
972 |
$770.13 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
26 |
26 |
$338.06 |
| 99051 |
|
1,334 |
1,281 |
$175.26 |
| 3008F |
|
1,583 |
1,583 |
$85.00 |
| 99000 |
|
110 |
110 |
$6.00 |
| 99072 |
|
13 |
13 |
$0.00 |