| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
256 |
241 |
$21K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
209 |
191 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
72 |
60 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
26 |
25 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
217 |
162 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
104 |
98 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
83 |
41 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
14 |
$1K |
| 92551 |
|
79 |
70 |
$738.25 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
176 |
151 |
$619.42 |
| 83655 |
|
30 |
28 |
$410.76 |
| 90670 |
|
18 |
14 |
$314.40 |
| 99174 |
|
63 |
53 |
$308.94 |
| 90461 |
|
85 |
66 |
$246.60 |
| 90688 |
|
15 |
13 |
$144.10 |
| 85014 |
|
52 |
43 |
$123.84 |
| 99173 |
|
57 |
52 |
$98.42 |
| 36416 |
|
63 |
52 |
$27.50 |
| 94760 |
|
62 |
60 |
$0.00 |
| 99000 |
|
66 |
61 |
$0.00 |