| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,531 |
5,070 |
$305K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,108 |
2,947 |
$238K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,711 |
1,670 |
$141K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,736 |
1,684 |
$133K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,427 |
1,401 |
$117K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,339 |
3,092 |
$91K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,307 |
1,267 |
$43K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
324 |
324 |
$30K |
| 90461 |
|
479 |
407 |
$7K |
| 92552 |
|
304 |
282 |
$6K |
| 99177 |
|
596 |
582 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
185 |
180 |
$3K |
| 99383 |
|
26 |
26 |
$2K |
| 99381 |
|
27 |
26 |
$2K |
| 92551 |
|
281 |
246 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
41 |
41 |
$590.87 |
| 94760 |
|
489 |
457 |
$566.44 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
12 |
$550.48 |
| 96160 |
|
204 |
201 |
$526.34 |
| 99173 |
|
286 |
248 |
$347.76 |
| 0071A |
|
12 |
12 |
$332.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
16 |
12 |
$241.81 |
| 97802 |
|
17 |
15 |
$232.26 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
13 |
$170.28 |
| 90688 |
|
15 |
15 |
$15.43 |
| 90686 |
|
170 |
154 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| 90670 |
|
307 |
287 |
$0.00 |
| 90648 |
|
92 |
80 |
$0.00 |