| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,479 |
1,298 |
$128K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
655 |
643 |
$76K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
649 |
586 |
$34K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
287 |
285 |
$30K |
| 90686 |
|
757 |
696 |
$16K |
| 92551 |
|
1,357 |
1,337 |
$13K |
| 96127 |
|
1,562 |
1,478 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
53 |
53 |
$6K |
| 90688 |
|
204 |
202 |
$5K |
| 99173 |
|
1,379 |
1,357 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
397 |
353 |
$3K |
| W7000 |
|
663 |
653 |
$3K |
| 99401 |
|
65 |
65 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
113 |
111 |
$3K |
| W7010 |
|
96 |
95 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$2K |
| 91321 |
|
30 |
20 |
$1K |
| 0071A |
|
31 |
31 |
$1K |
| 91320 |
|
19 |
13 |
$1K |
| 0072A |
|
28 |
28 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
66 |
35 |
$815.92 |
| 90672 |
|
33 |
33 |
$725.28 |
| 90480 |
|
34 |
17 |
$680.00 |
| 90619 |
|
15 |
15 |
$349.20 |
| 90656 |
|
15 |
15 |
$342.20 |
| 90661 |
|
14 |
14 |
$316.21 |
| 90734 |
|
13 |
12 |
$279.36 |
| 90651 |
|
12 |
12 |
$279.36 |
| 99072 |
|
259 |
229 |
$0.00 |
| 91307 |
|
84 |
84 |
$0.00 |