| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,374 |
5,559 |
$463K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,794 |
2,559 |
$150K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,343 |
1,269 |
$139K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,237 |
1,157 |
$115K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,135 |
1,098 |
$114K |
| 99215 |
Prolong outpt/office vis |
960 |
888 |
$113K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,533 |
3,339 |
$63K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
598 |
567 |
$59K |
| 90670 |
|
607 |
581 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
185 |
167 |
$1K |
| 90698 |
|
155 |
150 |
$610.89 |
| 90686 |
|
672 |
633 |
$268.99 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
19 |
19 |
$260.48 |
| 90651 |
|
40 |
38 |
$154.64 |
| 90734 |
|
12 |
12 |
$88.76 |
| 90715 |
|
12 |
12 |
$82.78 |
| 96127 |
|
115 |
110 |
$65.13 |
| 90633 |
|
126 |
120 |
$0.00 |
| 90710 |
|
28 |
24 |
$0.00 |
| 90619 |
|
25 |
25 |
$0.00 |
| 90680 |
|
170 |
168 |
$0.00 |
| 90744 |
|
31 |
31 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
13 |
13 |
$0.00 |