| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,384 |
10,870 |
$518K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,303 |
1,163 |
$108K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
853 |
755 |
$64K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,000 |
2,794 |
$60K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
766 |
713 |
$59K |
| 99000 |
|
5,005 |
4,152 |
$46K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,884 |
4,056 |
$46K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
287 |
236 |
$13K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,280 |
1,062 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
132 |
118 |
$9K |
| 90461 |
|
638 |
468 |
$3K |
| 96160 |
|
1,340 |
1,195 |
$2K |
| 97169 |
|
103 |
103 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16 |
16 |
$859.88 |
| 90734 |
|
198 |
176 |
$0.19 |
| 90620 |
|
225 |
194 |
$0.17 |
| 90686 |
|
1,258 |
1,034 |
$0.16 |
| 90651 |
|
263 |
240 |
$0.13 |
| 90715 |
|
44 |
41 |
$0.10 |
| 90647 |
|
25 |
24 |
$0.00 |
| 90698 |
|
31 |
25 |
$0.00 |
| 90656 |
|
167 |
165 |
$0.00 |
| 90697 |
|
14 |
14 |
$0.00 |
| 90619 |
|
30 |
30 |
$0.00 |
| 1170F |
|
12 |
12 |
$0.00 |
| 90670 |
|
172 |
142 |
$0.00 |
| 90671 |
|
46 |
45 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
106 |
106 |
$0.00 |
| 3288F |
|
12 |
12 |
$0.00 |