| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,562 |
4,059 |
$140K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,890 |
2,765 |
$86K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,289 |
1,215 |
$80K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,305 |
1,238 |
$70K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,018 |
968 |
$54K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
828 |
751 |
$45K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
697 |
649 |
$35K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
432 |
391 |
$9K |
| 92551 |
|
2,733 |
2,354 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
279 |
246 |
$4K |
| 81002 |
|
2,802 |
2,552 |
$4K |
| 90670 |
|
433 |
400 |
$2K |
| 99173 |
|
2,652 |
2,223 |
$2K |
| 99381 |
|
26 |
26 |
$2K |
| 90633 |
|
123 |
120 |
$295.03 |
| 90686 |
|
554 |
478 |
$106.72 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
12 |
$90.52 |
| 96127 |
|
24 |
13 |
$74.50 |
| 90648 |
|
456 |
421 |
$62.99 |
| 90700 |
|
347 |
320 |
$32.95 |
| 94760 |
|
118 |
87 |
$31.23 |
| 90651 |
|
195 |
182 |
$12.00 |
| 90680 |
|
98 |
92 |
$0.68 |
| 87110 |
|
67 |
53 |
$0.00 |
| 90620 |
|
99 |
76 |
$0.00 |
| 90716 |
|
85 |
84 |
$0.00 |
| 90723 |
|
58 |
50 |
$0.00 |
| 90734 |
|
68 |
65 |
$0.00 |
| 99072 |
|
411 |
284 |
$0.00 |
| 90687 |
|
41 |
40 |
$0.00 |
| 90713 |
|
118 |
112 |
$0.00 |
| 90707 |
|
88 |
86 |
$0.00 |
| 90658 |
|
18 |
18 |
$0.00 |
| 90649 |
|
23 |
22 |
$0.00 |