| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,177 |
1,053 |
$60K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
912 |
824 |
$29K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
855 |
758 |
$29K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
210 |
203 |
$15K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
170 |
158 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
89 |
87 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
236 |
233 |
$6K |
| 92551 |
|
572 |
516 |
$2K |
| 90461 |
|
73 |
67 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$971.18 |
| 99173 |
|
624 |
564 |
$682.43 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
13 |
$537.14 |
| 96127 |
|
76 |
75 |
$293.59 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
14 |
$193.81 |
| 96161 |
|
14 |
12 |
$9.50 |