| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,791 |
5,773 |
$270K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
939 |
931 |
$77K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
768 |
716 |
$57K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,651 |
1,998 |
$53K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
415 |
402 |
$36K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
844 |
405 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
87 |
82 |
$8K |
| 90461 |
|
1,328 |
1,186 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
925 |
686 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
119 |
113 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$1K |
| 87807 |
|
57 |
56 |
$626.63 |
| 90619 |
|
14 |
14 |
$502.68 |
| 90677 |
|
109 |
109 |
$285.55 |
| 90670 |
|
425 |
424 |
$0.00 |
| 90648 |
|
232 |
229 |
$0.00 |
| 90633 |
|
99 |
99 |
$0.00 |
| 90707 |
|
101 |
101 |
$0.00 |
| 90685 |
|
46 |
46 |
$0.00 |
| 90700 |
|
32 |
32 |
$0.00 |
| 99173 |
|
69 |
61 |
$0.00 |
| 90715 |
|
13 |
13 |
$0.00 |
| 90716 |
|
87 |
87 |
$0.00 |
| 90744 |
|
153 |
153 |
$0.00 |
| 90698 |
|
154 |
154 |
$0.00 |
| 90680 |
|
81 |
81 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| 90723 |
|
85 |
85 |
$0.00 |
| 90686 |
|
266 |
264 |
$0.00 |
| 90656 |
|
34 |
34 |
$0.00 |
| 96127 |
|
66 |
60 |
$0.00 |