| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,481 |
4,718 |
$67K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
854 |
835 |
$41K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
705 |
680 |
$32K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
727 |
708 |
$31K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,564 |
5,036 |
$30K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,365 |
1,564 |
$21K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
363 |
356 |
$19K |
| 92588 |
|
1,675 |
1,632 |
$5K |
| 90461 |
|
2,868 |
798 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
656 |
320 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
399 |
273 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
283 |
280 |
$888.96 |
| 96160 |
|
823 |
807 |
$845.04 |
| 99000 |
|
246 |
238 |
$820.80 |
| 99050 |
|
57 |
57 |
$582.69 |
| 0071A |
|
14 |
14 |
$320.00 |
| 0072A |
|
14 |
14 |
$320.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
12 |
$264.30 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
30 |
27 |
$118.78 |
| 86580 |
|
17 |
16 |
$64.60 |
| 81002 |
|
37 |
36 |
$46.72 |
| 90670 |
|
293 |
289 |
$0.13 |
| 90680 |
|
39 |
39 |
$0.09 |
| 90648 |
|
65 |
64 |
$0.02 |
| 99173 |
|
1,821 |
1,776 |
$0.00 |
| 90633 |
|
14 |
14 |
$0.00 |
| 90734 |
|
14 |
14 |
$0.00 |
| 90710 |
|
13 |
13 |
$0.00 |
| 91307 |
|
36 |
36 |
$0.00 |
| 90686 |
|
467 |
467 |
$0.00 |
| 90650 |
|
13 |
13 |
$0.00 |
| 90677 |
|
13 |
13 |
$0.00 |
| 90651 |
|
13 |
13 |
$0.00 |