| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
454 |
415 |
$28K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
497 |
449 |
$20K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
213 |
187 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
88 |
83 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
86 |
84 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
71 |
66 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
37 |
29 |
$2K |
| 69210 |
|
22 |
22 |
$1K |
| 92551 |
|
182 |
158 |
$467.05 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
32 |
32 |
$416.61 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
14 |
13 |
$325.87 |
| 96160 |
|
46 |
41 |
$161.38 |
| 99173 |
|
119 |
99 |
$2.48 |
| 90670 |
|
13 |
12 |
$0.00 |