| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,993 |
5,439 |
$235K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,701 |
1,544 |
$151K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,575 |
1,419 |
$129K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,234 |
1,896 |
$115K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
736 |
582 |
$46K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
564 |
499 |
$42K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,101 |
1,865 |
$19K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,428 |
1,418 |
$18K |
| 99384 |
|
185 |
168 |
$17K |
| 99429 |
|
547 |
497 |
$16K |
| 99050 |
|
1,013 |
942 |
$15K |
| 99383 |
|
156 |
149 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
757 |
714 |
$11K |
| 99382 |
|
69 |
68 |
$6K |
| 96160 |
|
3,211 |
2,851 |
$5K |
| 90473 |
|
430 |
403 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
556 |
337 |
$4K |
| 90658 |
|
1,094 |
988 |
$3K |
| 90734 |
|
126 |
108 |
$1K |
| 90474 |
|
18 |
17 |
$49.77 |
| 90672 |
|
224 |
194 |
$0.06 |
| 90660 |
|
312 |
295 |
$0.00 |
| 90650 |
|
149 |
132 |
$0.00 |
| 90651 |
|
42 |
35 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 90715 |
|
51 |
46 |
$0.00 |