| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
384 |
367 |
$33K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
541 |
504 |
$32K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
192 |
166 |
$16K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
116 |
113 |
$10K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
264 |
213 |
$6K |
| 99460 |
|
67 |
65 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
44 |
42 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
52 |
50 |
$3K |
| 99381 |
|
13 |
13 |
$1K |
| 94760 |
|
287 |
269 |
$604.97 |
| 36416 |
|
127 |
114 |
$389.56 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
32 |
30 |
$338.46 |
| 81002 |
|
15 |
12 |
$23.65 |
| 87999 |
|
31 |
29 |
$20.75 |
| 97803 |
|
192 |
185 |
$0.00 |
| 99173 |
|
12 |
12 |
$0.00 |
| 99000 |
|
52 |
45 |
$0.00 |
| 90686 |
|
16 |
16 |
$0.00 |