| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,191 |
1,007 |
$103K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,074 |
938 |
$61K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
306 |
287 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
397 |
370 |
$6K |
| 99215 |
Prolong outpt/office vis |
48 |
45 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
50 |
38 |
$4K |
| 90686 |
|
411 |
369 |
$2K |
| 99070 |
|
295 |
257 |
$2K |
| 99354 |
|
24 |
24 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
101 |
96 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
39 |
25 |
$1K |
| 90685 |
|
33 |
30 |
$178.48 |
| 96127 |
|
43 |
25 |
$127.77 |
| 90461 |
|
30 |
28 |
$26.00 |
| 90656 |
|
17 |
17 |
$0.00 |
| 91307 |
|
13 |
12 |
$0.00 |