| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,269 |
3,745 |
$323K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,222 |
2,954 |
$282K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,258 |
1,789 |
$192K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,017 |
1,421 |
$149K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,669 |
1,369 |
$148K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
849 |
646 |
$77K |
| 90686 |
|
1,385 |
1,115 |
$23K |
| 90698 |
|
1,206 |
911 |
$20K |
| 90670 |
|
1,087 |
854 |
$19K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,433 |
1,841 |
$19K |
| 90680 |
|
641 |
480 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
174 |
147 |
$8K |
| 96127 |
|
1,801 |
1,400 |
$7K |
| 90707 |
|
346 |
284 |
$6K |
| 99173 |
|
2,412 |
1,973 |
$5K |
| 90716 |
|
251 |
213 |
$5K |
| 90633 |
|
264 |
205 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
955 |
625 |
$4K |
| 90744 |
|
214 |
163 |
$3K |
| 90677 |
|
160 |
123 |
$2K |
| 90619 |
|
80 |
53 |
$1K |
| 90651 |
|
40 |
26 |
$496.75 |
| 90715 |
|
14 |
13 |
$209.52 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
37 |
22 |
$0.00 |
| 99423 |
|
302 |
87 |
$0.00 |
| 99441 |
|
20 |
18 |
$0.00 |