| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,468 |
14,373 |
$745K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,708 |
2,655 |
$117K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,863 |
7,759 |
$102K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,696 |
1,696 |
$85K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,505 |
1,505 |
$74K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,310 |
1,309 |
$69K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
9,241 |
9,177 |
$37K |
| 90461 |
|
1,852 |
1,845 |
$22K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
121 |
118 |
$9K |
| 81000 |
|
2,692 |
2,673 |
$6K |
| 96127 |
|
1,544 |
1,539 |
$4K |
| 87070 |
|
722 |
710 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
230 |
228 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
28 |
28 |
$869.47 |
| 81003 |
|
660 |
656 |
$825.90 |
| 90686 |
|
1,352 |
1,351 |
$599.83 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
47 |
24 |
$309.95 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
12 |
$305.16 |
| 90671 |
|
82 |
82 |
$253.56 |
| 90715 |
|
77 |
77 |
$53.31 |
| 99173 |
|
114 |
114 |
$45.52 |
| 90670 |
|
333 |
331 |
$0.00 |
| 90734 |
|
241 |
241 |
$0.00 |
| 90710 |
|
14 |
14 |
$0.00 |
| 90685 |
|
99 |
99 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 90723 |
|
124 |
124 |
$0.00 |
| 90647 |
|
81 |
81 |
$0.00 |
| 3008F |
|
2,152 |
2,152 |
$0.00 |
| 90651 |
|
27 |
27 |
$0.00 |
| 90696 |
|
14 |
14 |
$0.00 |