| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,924 |
5,025 |
$381K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,207 |
2,086 |
$201K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,395 |
2,365 |
$51K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
533 |
531 |
$43K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
518 |
518 |
$40K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
527 |
522 |
$38K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,694 |
1,688 |
$16K |
| 92552 |
|
779 |
777 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
143 |
143 |
$12K |
| 81002 |
|
1,999 |
1,961 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
407 |
389 |
$5K |
| 96127 |
|
1,475 |
1,472 |
$4K |
| 90686 |
|
341 |
341 |
$754.43 |
| 99051 |
|
85 |
82 |
$382.38 |
| 90671 |
|
24 |
24 |
$246.20 |
| 90658 |
|
13 |
13 |
$12.31 |
| 99072 |
|
2,595 |
2,171 |
$5.46 |
| 99173 |
|
569 |
569 |
$0.00 |
| 90461 |
|
537 |
534 |
$0.00 |
| 90670 |
|
25 |
25 |
$0.00 |
| 90698 |
|
26 |
26 |
$0.00 |