| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,245 |
6,157 |
$451K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,705 |
1,702 |
$139K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,652 |
1,542 |
$119K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,220 |
1,217 |
$97K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,298 |
3,285 |
$73K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,215 |
1,131 |
$55K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
618 |
597 |
$53K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
464 |
464 |
$42K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,620 |
2,614 |
$26K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,916 |
1,848 |
$24K |
| 81002 |
|
2,123 |
2,094 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
308 |
306 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
172 |
85 |
$2K |
| 96127 |
|
308 |
308 |
$894.77 |
| 99441 |
|
87 |
83 |
$789.07 |
| 90461 |
|
1,731 |
1,728 |
$154.00 |
| 90686 |
|
344 |
343 |
$147.66 |
| 85018 |
|
37 |
36 |
$75.41 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
12 |
12 |
$67.04 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$35.45 |
| 99173 |
|
612 |
612 |
$0.00 |
| 99072 |
|
89 |
87 |
$0.00 |
| 93770 |
|
210 |
209 |
$0.00 |
| 90670 |
|
424 |
424 |
$0.00 |
| 90734 |
|
29 |
29 |
$0.00 |
| 90633 |
|
41 |
41 |
$0.00 |
| 90649 |
|
13 |
13 |
$0.00 |
| 90715 |
|
15 |
15 |
$0.00 |
| 90698 |
|
182 |
182 |
$0.00 |
| 90688 |
|
60 |
59 |
$0.00 |
| 90744 |
|
37 |
37 |
$0.00 |
| 94760 |
|
58 |
52 |
$0.00 |
| 90680 |
|
13 |
13 |
$0.00 |