| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,928 |
4,539 |
$303K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
633 |
631 |
$63K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
542 |
534 |
$51K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
542 |
541 |
$50K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,167 |
2,133 |
$40K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
328 |
314 |
$28K |
| 90461 |
|
910 |
890 |
$12K |
| 85018 |
|
2,117 |
2,080 |
$5K |
| 81002 |
|
1,034 |
1,022 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
267 |
261 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
125 |
123 |
$2K |
| 90670 |
|
38 |
36 |
$1K |
| 96127 |
|
118 |
118 |
$865.95 |
| 97802 |
|
30 |
29 |
$621.34 |
| 90698 |
|
13 |
12 |
$430.56 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
26 |
16 |
$370.02 |
| 90656 |
|
85 |
85 |
$51.18 |