| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,803 |
1,691 |
$86K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
650 |
535 |
$49K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
581 |
502 |
$40K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
256 |
237 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
230 |
217 |
$16K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
422 |
349 |
$8K |
| 96127 |
|
397 |
361 |
$6K |
| 90686 |
|
499 |
445 |
$5K |
| 90670 |
|
232 |
206 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
45 |
42 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
130 |
126 |
$3K |
| 90647 |
|
73 |
63 |
$883.32 |
| 90723 |
|
91 |
78 |
$841.83 |
| 90680 |
|
61 |
54 |
$525.27 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
33 |
32 |
$508.66 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
41 |
40 |
$455.20 |
| 85018 |
|
92 |
82 |
$221.66 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
31 |
31 |
$0.00 |