| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,915 |
4,406 |
$269K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,439 |
3,099 |
$120K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,060 |
1,032 |
$98K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
955 |
914 |
$86K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
610 |
595 |
$64K |
| 97802 |
|
3,264 |
3,113 |
$31K |
| 92552 |
|
3,348 |
3,261 |
$23K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
126 |
122 |
$12K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,447 |
2,348 |
$10K |
| 99188 |
|
1,255 |
1,219 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,639 |
1,456 |
$3K |
| 99383 |
|
38 |
38 |
$3K |
| 99384 |
|
38 |
36 |
$3K |
| 99406 |
|
781 |
754 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
636 |
607 |
$2K |
| 99050 |
|
917 |
872 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |
| 81002 |
|
1,193 |
1,105 |
$603.78 |
| 87428 |
|
13 |
13 |
$397.76 |
| 81025 |
|
156 |
147 |
$337.01 |
| 90461 |
|
673 |
596 |
$318.93 |
| S9451 |
Exercise classes, non-physician provider, per session |
2,958 |
2,409 |
$210.00 |
| 99173 |
|
3,195 |
2,647 |
$179.96 |
| 90686 |
|
109 |
106 |
$51.45 |
| A4208 |
Syringe with needle, sterile 3 cc, each |
1,392 |
1,319 |
$49.21 |
| 90651 |
|
133 |
132 |
$30.87 |
| 1033F |
|
146 |
146 |
$0.00 |
| 90734 |
|
95 |
93 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 2014F |
|
50 |
45 |
$0.00 |
| 90633 |
|
31 |
31 |
$0.00 |
| 90670 |
|
28 |
27 |
$0.00 |
| 99354 |
|
12 |
12 |
$0.00 |
| 3008F |
|
3,075 |
2,523 |
$0.00 |
| 96127 |
|
844 |
694 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |
| 90647 |
|
13 |
13 |
$0.00 |