| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,782 |
4,183 |
$173K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
813 |
794 |
$71K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
707 |
695 |
$69K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,154 |
1,070 |
$58K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
485 |
484 |
$41K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,267 |
1,738 |
$36K |
| H0049 |
Alcohol and/or drug screening |
785 |
764 |
$7K |
| 90461 |
|
827 |
706 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
375 |
302 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
85 |
78 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
66 |
65 |
$2K |
| 90734 |
|
42 |
39 |
$168.25 |
| 90686 |
|
708 |
702 |
$7.00 |
| 90619 |
|
38 |
38 |
$3.00 |
| 90715 |
|
79 |
79 |
$2.00 |
| 90651 |
|
173 |
169 |
$1.00 |
| 90633 |
|
24 |
24 |
$0.00 |
| 90670 |
|
59 |
59 |
$0.00 |
| 99409 |
|
15 |
15 |
$0.00 |
| 90696 |
|
13 |
13 |
$0.00 |
| 90698 |
|
14 |
14 |
$0.00 |