| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
795 |
689 |
$32K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
495 |
462 |
$30K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
529 |
274 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
412 |
395 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
39 |
39 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
31 |
27 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
16 |
16 |
$964.04 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15 |
14 |
$790.87 |
| 85018 |
|
239 |
232 |
$539.42 |
| 81002 |
|
124 |
118 |
$280.31 |
| 36416 |
|
243 |
235 |
$275.56 |
| 93000 |
|
15 |
14 |
$227.38 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$121.89 |
| 90633 |
|
12 |
12 |
$21.42 |
| 90656 |
|
16 |
16 |
$15.75 |
| 90715 |
|
12 |
12 |
$15.75 |
| 90648 |
|
36 |
36 |
$10.00 |
| 90733 |
|
15 |
15 |
$0.00 |
| 90670 |
|
14 |
13 |
$0.00 |
| 90649 |
|
15 |
15 |
$0.00 |