| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,679 |
5,408 |
$268K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,138 |
1,855 |
$128K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,198 |
1,179 |
$75K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
799 |
773 |
$49K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
726 |
713 |
$45K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
386 |
359 |
$23K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,742 |
2,776 |
$14K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,074 |
3,888 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
193 |
187 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
382 |
357 |
$4K |
| 99406 |
|
1,038 |
1,003 |
$3K |
| 99401 |
|
113 |
105 |
$785.84 |
| 99188 |
|
104 |
101 |
$594.10 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
12 |
12 |
$570.60 |
| 90461 |
|
177 |
168 |
$458.77 |
| 99442 |
|
43 |
39 |
$242.34 |
| 96127 |
|
174 |
165 |
$207.30 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
13 |
13 |
$81.28 |
| 96161 |
|
28 |
28 |
$20.68 |
| 90662 |
|
188 |
187 |
$1.18 |
| 90620 |
|
15 |
15 |
$0.03 |
| 90710 |
|
12 |
12 |
$0.00 |
| 90633 |
|
66 |
66 |
$0.00 |
| 90670 |
|
109 |
104 |
$0.00 |
| 90734 |
|
48 |
46 |
$0.00 |
| 90656 |
|
46 |
46 |
$0.00 |
| 90686 |
|
545 |
518 |
$0.00 |
| 94760 |
|
495 |
394 |
$0.00 |
| D1310 |
|
309 |
294 |
$0.00 |
| D1330 |
|
307 |
293 |
$0.00 |
| 90744 |
|
13 |
12 |
$0.00 |
| 3008F |
|
222 |
211 |
$0.00 |
| 90651 |
|
40 |
39 |
$0.00 |
| 90698 |
|
69 |
66 |
$0.00 |
| 90680 |
|
13 |
12 |
$0.00 |