| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,884 |
1,752 |
$68K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
904 |
853 |
$49K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
398 |
396 |
$37K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
357 |
342 |
$31K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
204 |
204 |
$17K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
128 |
128 |
$11K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
705 |
701 |
$4K |
| 90670 |
|
275 |
275 |
$120.00 |
| 85018 |
|
722 |
706 |
$54.19 |
| 97802 |
|
604 |
592 |
$30.22 |
| 90707 |
|
12 |
12 |
$10.00 |
| 90734 |
|
14 |
14 |
$10.00 |
| 90633 |
|
94 |
94 |
$10.00 |
| 90723 |
|
140 |
140 |
$10.00 |
| 36416 |
|
725 |
712 |
$1.62 |
| 81002 |
|
389 |
374 |
$0.00 |
| 99173 |
|
345 |
337 |
$0.00 |
| 90681 |
|
44 |
44 |
$0.00 |
| 90715 |
|
15 |
15 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$0.00 |
| 90647 |
|
159 |
159 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
602 |
589 |
$0.00 |
| 1111F |
|
87 |
85 |
$0.00 |
| 90651 |
|
20 |
20 |
$0.00 |