| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,364 |
4,444 |
$143K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,980 |
2,546 |
$112K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
762 |
729 |
$33K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
469 |
451 |
$24K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
620 |
576 |
$24K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
453 |
418 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,471 |
1,371 |
$9K |
| 90686 |
|
622 |
585 |
$7K |
| 92552 |
|
416 |
396 |
$2K |
| 90670 |
|
289 |
257 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
271 |
254 |
$2K |
| 90685 |
|
124 |
118 |
$1K |
| 96160 |
|
2,195 |
2,086 |
$400.03 |
| 81002 |
|
1,522 |
1,439 |
$379.35 |
| 90633 |
|
45 |
42 |
$308.98 |
| 87430 |
|
661 |
597 |
$296.06 |
| 90698 |
|
114 |
108 |
$286.91 |
| 90680 |
|
68 |
67 |
$286.91 |
| 90734 |
|
57 |
56 |
$245.77 |
| 87807 |
|
25 |
25 |
$67.70 |
| 90651 |
|
30 |
28 |
$44.14 |
| 94760 |
|
878 |
703 |
$28.74 |
| 90744 |
|
12 |
12 |
$22.07 |
| 99173 |
|
1,747 |
1,663 |
$4.60 |
| 85018 |
|
14 |
14 |
$1.76 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,510 |
1,881 |
$0.00 |
| 90461 |
|
55 |
48 |
$0.00 |
| 83655 |
|
12 |
12 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |