| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,005 |
3,795 |
$298K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,251 |
4,788 |
$270K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,890 |
4,737 |
$227K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,594 |
1,467 |
$119K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
938 |
934 |
$75K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
486 |
480 |
$38K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,005 |
953 |
$32K |
| 94667 |
|
942 |
901 |
$20K |
| 99177 |
|
593 |
587 |
$14K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
468 |
302 |
$6K |
| 86580 |
|
566 |
560 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
1,226 |
1,116 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
178 |
173 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
17 |
17 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
28 |
26 |
$695.35 |
| 99000 |
|
105 |
97 |
$10.26 |
| 90680 |
|
204 |
188 |
$0.00 |
| 90686 |
|
968 |
834 |
$0.00 |
| 90744 |
|
41 |
38 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| 90700 |
|
1,369 |
1,286 |
$0.00 |
| 90648 |
|
826 |
777 |
$0.00 |
| 90670 |
|
880 |
828 |
$0.00 |
| 90713 |
|
844 |
789 |
$0.00 |
| 90633 |
|
14 |
12 |
$0.00 |
| 90685 |
|
24 |
24 |
$0.00 |