| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,018 |
2,780 |
$80K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,021 |
3,004 |
$70K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,311 |
1,177 |
$58K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
872 |
834 |
$47K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
680 |
665 |
$40K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
590 |
572 |
$35K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
388 |
374 |
$19K |
| 3008F |
|
1,745 |
1,688 |
$10K |
| 90461 |
|
808 |
286 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
231 |
229 |
$3K |
| 92552 |
|
121 |
121 |
$1K |
| 90619 |
|
16 |
15 |
$1K |
| 90686 |
|
376 |
350 |
$757.76 |
| 90670 |
|
12 |
12 |
$757.50 |
| 90658 |
|
127 |
127 |
$478.12 |
| 90651 |
|
24 |
24 |
$361.60 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
40 |
39 |
$176.22 |
| 97802 |
|
1,839 |
1,762 |
$39.16 |
| 99173 |
|
75 |
75 |
$36.12 |
| 90655 |
|
15 |
15 |
$30.86 |
| 90648 |
|
13 |
12 |
$29.50 |
| 99401 |
|
84 |
84 |
$21.40 |
| S9451 |
Exercise classes, non-physician provider, per session |
1,444 |
1,354 |
$5.00 |
| 91307 |
|
36 |
32 |
$2.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
38 |
38 |
$0.00 |
| 97803 |
|
76 |
67 |
$0.00 |