| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,109 |
5,299 |
$412K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,110 |
1,912 |
$213K |
| 92588 |
|
2,365 |
2,307 |
$86K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,292 |
3,177 |
$68K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
150 |
150 |
$13K |
| 90461 |
|
301 |
293 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
44 |
44 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
37 |
37 |
$3K |
| 99429 |
|
93 |
92 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
33 |
33 |
$848.94 |
| 99173 |
|
945 |
938 |
$631.42 |
| 99401 |
|
28 |
25 |
$606.74 |
| 99051 |
|
61 |
60 |
$599.52 |
| 90686 |
|
1,024 |
1,019 |
$553.42 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
39 |
39 |
$234.13 |
| 99381 |
|
27 |
27 |
$180.10 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
75 |
75 |
$142.04 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
26 |
26 |
$0.00 |