| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,612 |
1,487 |
$109K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,869 |
1,777 |
$86K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,254 |
2,174 |
$81K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
772 |
684 |
$52K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
578 |
545 |
$41K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
418 |
407 |
$29K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
139 |
136 |
$11K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
320 |
201 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
138 |
136 |
$2K |
| 92551 |
|
470 |
442 |
$2K |
| 99381 |
|
14 |
14 |
$1K |
| 0002A |
|
29 |
29 |
$1K |
| 0001A |
|
26 |
26 |
$1K |
| 96161 |
|
122 |
120 |
$386.67 |
| 83655 |
|
100 |
80 |
$380.86 |
| 96160 |
|
109 |
98 |
$357.40 |
| 99173 |
|
650 |
605 |
$344.06 |
| 85018 |
|
144 |
118 |
$139.62 |
| 81002 |
|
41 |
39 |
$111.64 |
| 96127 |
|
37 |
36 |
$29.28 |
| 90686 |
|
423 |
371 |
$18.09 |
| 94760 |
|
435 |
389 |
$12.95 |
| 36416 |
|
100 |
86 |
$3.30 |
| 90688 |
|
15 |
15 |
$0.00 |
| 90744 |
|
84 |
83 |
$0.00 |
| 90651 |
|
50 |
48 |
$0.00 |
| 90680 |
|
199 |
189 |
$0.00 |
| 90716 |
|
54 |
53 |
$0.00 |
| 90648 |
|
451 |
421 |
$0.00 |
| 90633 |
|
88 |
86 |
$0.00 |
| 90713 |
|
410 |
386 |
$0.00 |
| 90700 |
|
536 |
498 |
$0.00 |
| 90670 |
|
449 |
418 |
$0.00 |
| 90707 |
|
54 |
53 |
$0.00 |
| 91300 |
|
49 |
49 |
$0.00 |