| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,724 |
5,049 |
$339K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,688 |
2,459 |
$132K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,021 |
944 |
$72K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
580 |
510 |
$38K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
343 |
322 |
$25K |
| 92551 |
|
1,316 |
1,215 |
$16K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
215 |
204 |
$16K |
| 99173 |
|
1,306 |
1,204 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
144 |
135 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
294 |
132 |
$4K |
| 99381 |
|
39 |
39 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
82 |
70 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
13 |
$1K |
| 99382 |
|
15 |
15 |
$1K |
| 99383 |
|
14 |
14 |
$910.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
34 |
31 |
$264.13 |
| 90686 |
|
336 |
307 |
$42.05 |
| 90700 |
|
237 |
220 |
$23.56 |
| 90461 |
|
1,934 |
1,775 |
$0.00 |
| 90707 |
|
253 |
222 |
$0.00 |
| 90670 |
|
636 |
589 |
$0.00 |
| 90713 |
|
30 |
26 |
$0.00 |
| 90633 |
|
226 |
195 |
$0.00 |
| 90671 |
|
177 |
161 |
$0.00 |
| 90734 |
|
31 |
30 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 90698 |
|
507 |
459 |
$0.00 |
| 90716 |
|
236 |
209 |
$0.00 |
| 90744 |
|
249 |
230 |
$0.00 |
| 90656 |
|
29 |
29 |
$0.00 |
| 90651 |
|
71 |
59 |
$0.00 |
| 90619 |
|
45 |
44 |
$0.00 |
| 90680 |
|
307 |
272 |
$0.00 |