| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
848 |
749 |
$68K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,062 |
936 |
$57K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
304 |
273 |
$20K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
252 |
246 |
$19K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
110 |
106 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
443 |
423 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
468 |
458 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
454 |
404 |
$4K |
| 92551 |
|
356 |
352 |
$2K |
| 92081 |
|
104 |
103 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
174 |
171 |
$1K |
| 81002 |
|
359 |
353 |
$769.05 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
35 |
35 |
$465.26 |
| 36415 |
Collection of venous blood by venipuncture |
49 |
49 |
$132.88 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$85.96 |
| 90670 |
|
73 |
70 |
$0.01 |
| 90461 |
|
116 |
115 |
$0.00 |
| 99173 |
|
214 |
210 |
$0.00 |
| 90687 |
|
17 |
16 |
$0.00 |
| 90698 |
|
13 |
13 |
$0.00 |
| 90688 |
|
43 |
43 |
$0.00 |