| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,533 |
4,191 |
$285K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,152 |
2,029 |
$196K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,865 |
2,747 |
$118K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,349 |
1,270 |
$118K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,063 |
1,023 |
$99K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,182 |
3,959 |
$69K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
183 |
169 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
743 |
725 |
$11K |
| 99173 |
|
983 |
943 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
391 |
385 |
$7K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
346 |
336 |
$4K |
| 90686 |
|
818 |
793 |
$2K |
| 0071A |
|
100 |
43 |
$2K |
| 0072A |
|
60 |
33 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
101 |
51 |
$1K |
| 94760 |
|
575 |
536 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
14 |
$1K |
| 90670 |
|
84 |
79 |
$1K |
| 90461 |
|
537 |
526 |
$1K |
| 99174 |
|
67 |
66 |
$957.68 |
| 85018 |
|
309 |
302 |
$800.07 |
| 90698 |
|
40 |
39 |
$359.05 |
| 90680 |
|
28 |
26 |
$202.58 |
| 90685 |
|
12 |
12 |
$0.00 |
| 91307 |
|
165 |
78 |
$0.00 |