| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,607 |
4,358 |
$359K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,106 |
4,693 |
$275K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,186 |
3,109 |
$242K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,139 |
4,118 |
$173K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,033 |
2,024 |
$162K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,143 |
1,141 |
$92K |
| 99460 |
|
789 |
777 |
$52K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
808 |
795 |
$48K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
137 |
136 |
$12K |
| 92551 |
|
672 |
658 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
129 |
127 |
$1K |
| 99381 |
|
13 |
12 |
$961.58 |
| 99173 |
|
528 |
514 |
$251.58 |
| 90686 |
|
231 |
227 |
$199.35 |
| 99000 |
|
16 |
16 |
$47.12 |
| 90670 |
|
1,567 |
1,525 |
$0.00 |
| 90710 |
|
364 |
355 |
$0.00 |
| 90633 |
|
456 |
445 |
$0.00 |
| 90671 |
|
14 |
14 |
$0.00 |
| 90680 |
|
1,017 |
999 |
$0.00 |
| 90744 |
|
648 |
635 |
$0.00 |
| 90698 |
|
1,309 |
1,265 |
$0.00 |
| 90697 |
|
50 |
50 |
$0.00 |
| 90696 |
|
26 |
26 |
$0.00 |