| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,747 |
1,961 |
$66K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,470 |
906 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
212 |
172 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
228 |
180 |
$6K |
| 92567 |
|
965 |
648 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
528 |
385 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
667 |
436 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
120 |
97 |
$4K |
| 90677 |
|
13 |
12 |
$3K |
| 90461 |
|
568 |
328 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
48 |
39 |
$1K |
| H0033 |
Oral medication administration, direct observation |
1,353 |
717 |
$289.50 |
| 90658 |
|
131 |
84 |
$273.79 |
| 90651 |
|
26 |
13 |
$250.00 |
| 99383 |
|
25 |
19 |
$200.00 |
| 90688 |
|
391 |
281 |
$141.54 |
| 90633 |
|
94 |
38 |
$110.76 |
| 99384 |
|
13 |
12 |
$100.00 |
| 99382 |
|
14 |
14 |
$50.00 |
| 90686 |
|
30 |
22 |
$20.71 |
| 99000 |
|
158 |
109 |
$4.76 |
| 83655 |
|
12 |
12 |
$0.00 |
| 90670 |
|
53 |
19 |
$0.00 |