| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,586 |
4,781 |
$256K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,547 |
4,889 |
$177K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,423 |
1,411 |
$102K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,303 |
1,212 |
$88K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,527 |
2,450 |
$56K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
692 |
687 |
$50K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,318 |
2,161 |
$30K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
271 |
266 |
$22K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,817 |
1,792 |
$14K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
454 |
420 |
$11K |
| 90461 |
|
1,636 |
1,378 |
$7K |
| 99381 |
|
26 |
25 |
$2K |
| 87807 |
|
54 |
53 |
$529.28 |
| 99050 |
|
25 |
24 |
$329.76 |
| 90686 |
|
618 |
611 |
$0.05 |
| 90648 |
|
716 |
697 |
$0.01 |
| 90723 |
|
434 |
421 |
$0.00 |
| 90651 |
|
27 |
26 |
$0.00 |
| 96127 |
|
12 |
12 |
$0.00 |
| 90677 |
|
89 |
85 |
$0.00 |
| 36416 |
|
15 |
14 |
$0.00 |
| 90670 |
|
606 |
603 |
$0.00 |
| 90633 |
|
146 |
146 |
$0.00 |
| 90734 |
|
14 |
14 |
$0.00 |
| 90700 |
|
25 |
25 |
$0.00 |
| 90681 |
|
14 |
14 |
$0.00 |