| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,246 |
8,342 |
$626K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,203 |
1,202 |
$167K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,275 |
1,100 |
$145K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,010 |
962 |
$100K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
687 |
685 |
$71K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
507 |
507 |
$57K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,257 |
3,216 |
$13K |
| 90461 |
|
1,149 |
1,117 |
$11K |
| 90686 |
|
439 |
439 |
$2K |
| 90723 |
|
304 |
273 |
$814.07 |
| 90633 |
|
314 |
314 |
$770.59 |
| 92551 |
|
1,353 |
1,350 |
$419.59 |
| 81002 |
|
1,857 |
1,841 |
$356.98 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
905 |
896 |
$209.52 |
| 99173 |
|
1,574 |
1,571 |
$143.35 |
| 97802 |
|
1,663 |
1,660 |
$131.78 |
| 90648 |
|
507 |
476 |
$118.02 |
| 90696 |
|
14 |
14 |
$100.00 |
| 96127 |
|
289 |
289 |
$90.85 |
| 90700 |
|
26 |
26 |
$85.00 |
| 90651 |
|
13 |
13 |
$20.00 |
| 90670 |
|
533 |
502 |
$20.00 |
| 99000 |
|
153 |
151 |
$0.00 |
| 96161 |
|
166 |
166 |
$0.00 |
| 85018 |
|
40 |
40 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
27 |
27 |
$0.00 |
| 90680 |
|
14 |
14 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
317 |
185 |
$0.00 |
| 99188 |
|
165 |
165 |
$0.00 |
| 90734 |
|
37 |
37 |
$0.00 |
| 90681 |
|
12 |
12 |
$0.00 |
| 90671 |
|
12 |
12 |
$0.00 |
| 90715 |
|
33 |
33 |
$0.00 |
| 90710 |
|
15 |
15 |
$0.00 |
| 99072 |
|
22 |
22 |
$0.00 |