| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
946 |
858 |
$76K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
802 |
742 |
$42K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
220 |
217 |
$18K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
204 |
176 |
$15K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
804 |
787 |
$14K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
119 |
119 |
$9K |
| 92587 |
|
161 |
161 |
$9K |
| 90461 |
|
248 |
242 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
66 |
66 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
269 |
260 |
$3K |
| 99051 |
|
100 |
96 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
65 |
64 |
$744.64 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
26 |
25 |
$343.64 |
| 96127 |
|
68 |
67 |
$182.65 |