| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,081 |
2,843 |
$101K |
| 96156 |
|
1,402 |
1,394 |
$77K |
| 92081 |
|
1,946 |
1,924 |
$42K |
| 97802 |
|
1,662 |
1,648 |
$35K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
507 |
507 |
$32K |
| 92551 |
|
2,112 |
2,090 |
$24K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
427 |
426 |
$22K |
| 90686 |
|
973 |
963 |
$9K |
| 96150 |
|
349 |
341 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
160 |
159 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
95 |
94 |
$7K |
| 96151 |
|
96 |
96 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
26 |
26 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
97 |
96 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
88 |
88 |
$661.50 |
| 90674 |
|
113 |
112 |
$150.40 |
| 90700 |
|
12 |
12 |
$108.00 |
| 86580 |
|
15 |
15 |
$77.48 |
| G9920 |
Screening performed and negative |
29 |
29 |
$29.00 |