| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,438 |
1,148 |
$95K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,469 |
1,087 |
$45K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
838 |
728 |
$35K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
680 |
622 |
$25K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
127 |
121 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
120 |
111 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
118 |
107 |
$7K |
| 97802 |
|
428 |
394 |
$5K |
| 92552 |
|
315 |
289 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
29 |
26 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
172 |
160 |
$2K |
| 99173 |
|
404 |
379 |
$2K |
| 3008F |
|
517 |
480 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
28 |
28 |
$344.00 |
| 96160 |
|
138 |
126 |
$9.99 |
| 90461 |
|
253 |
234 |
$0.07 |
| 90670 |
|
42 |
41 |
$0.00 |
| 90685 |
|
13 |
12 |
$0.00 |
| 90686 |
|
215 |
196 |
$0.00 |
| 90698 |
|
12 |
12 |
$0.00 |