| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,527 |
2,288 |
$162K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,183 |
1,094 |
$94K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,410 |
2,334 |
$53K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
777 |
756 |
$51K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
779 |
734 |
$32K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
286 |
284 |
$22K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,481 |
1,365 |
$20K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
99 |
98 |
$8K |
| 97802 |
|
190 |
190 |
$5K |
| 99460 |
|
90 |
90 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
140 |
137 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
25 |
25 |
$3K |
| 99462 |
|
73 |
52 |
$2K |
| 99401 |
|
421 |
418 |
$1K |
| 96127 |
|
79 |
73 |
$221.49 |
| 90700 |
|
28 |
28 |
$0.00 |
| 99072 |
|
69 |
57 |
$0.00 |
| 90713 |
|
28 |
28 |
$0.00 |
| 90688 |
|
26 |
26 |
$0.00 |