| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
473 |
460 |
$45K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
483 |
472 |
$24K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
375 |
361 |
$24K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
222 |
220 |
$21K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
227 |
224 |
$20K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
164 |
163 |
$16K |
| 92570 |
|
303 |
296 |
$7K |
| 99383 |
|
57 |
56 |
$6K |
| V5008 |
Hearing screening |
303 |
296 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
43 |
40 |
$4K |
| 99382 |
|
32 |
32 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
501 |
494 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
90 |
87 |
$3K |
| 99058 |
|
148 |
145 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
220 |
216 |
$2K |
| 99463 |
|
45 |
29 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
122 |
118 |
$1K |
| 99381 |
|
14 |
14 |
$1K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
27 |
26 |
$579.02 |
| 85018 |
|
250 |
248 |
$497.38 |
| 87430 |
|
39 |
38 |
$423.06 |
| 81003 |
|
239 |
232 |
$348.87 |
| 85014 |
|
250 |
248 |
$281.92 |
| 94760 |
|
221 |
216 |
$280.68 |
| 87070 |
|
30 |
30 |
$228.33 |
| 96127 |
|
35 |
35 |
$142.70 |
| 84030 |
|
13 |
13 |
$76.06 |
| 36416 |
|
13 |
13 |
$42.41 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$37.60 |
| 90651 |
|
17 |
16 |
$0.01 |
| 99000 |
|
61 |
58 |
$0.00 |
| 90680 |
|
98 |
93 |
$0.00 |
| 90688 |
|
14 |
14 |
$0.00 |
| 99173 |
|
281 |
275 |
$0.00 |
| 90648 |
|
116 |
111 |
$0.00 |
| 90670 |
|
160 |
154 |
$0.00 |
| 90734 |
|
49 |
49 |
$0.00 |