| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
238 |
228 |
$27K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
333 |
300 |
$26K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
88 |
88 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
69 |
69 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
74 |
74 |
$8K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
223 |
223 |
$7K |
| 90461 |
|
108 |
108 |
$5K |
| 97802 |
|
163 |
163 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
37 |
37 |
$4K |
| 99188 |
|
38 |
38 |
$677.16 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
13 |
$662.34 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
45 |
42 |
$623.92 |
| 96127 |
|
79 |
79 |
$617.78 |
| 94664 |
|
43 |
42 |
$524.58 |
| 99051 |
|
16 |
16 |
$211.20 |
| 85014 |
|
62 |
62 |
$140.12 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
13 |
$101.66 |
| 92551 |
|
15 |
15 |
$8.37 |
| 90716 |
|
30 |
30 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
208 |
208 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| 94760 |
|
117 |
98 |
$0.00 |
| 90696 |
|
13 |
13 |
$0.00 |
| 90698 |
|
30 |
30 |
$0.00 |
| 90707 |
|
34 |
33 |
$0.00 |
| 90734 |
|
27 |
27 |
$0.00 |
| 90670 |
|
31 |
31 |
$0.00 |
| 90633 |
|
61 |
60 |
$0.00 |