| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,685 |
5,046 |
$203K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,669 |
1,606 |
$133K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,606 |
1,575 |
$124K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,528 |
1,337 |
$114K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,052 |
967 |
$86K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,586 |
3,176 |
$72K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
927 |
889 |
$46K |
| 99429 |
|
1,307 |
1,278 |
$43K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,666 |
1,208 |
$13K |
| 90461 |
|
2,163 |
1,807 |
$12K |
| 99000 |
|
719 |
694 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
354 |
174 |
$5K |
| 83655 |
|
331 |
325 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
254 |
249 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
40 |
38 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
143 |
141 |
$2K |
| 87807 |
|
138 |
131 |
$1K |
| 85018 |
|
164 |
162 |
$82.24 |
| 90670 |
|
1,051 |
1,035 |
$0.00 |
| 90734 |
|
160 |
152 |
$0.00 |
| 90633 |
|
466 |
454 |
$0.00 |
| 90710 |
|
63 |
63 |
$0.00 |
| 90700 |
|
41 |
40 |
$0.00 |
| 90715 |
|
13 |
12 |
$0.00 |
| 90707 |
|
37 |
37 |
$0.00 |
| 90647 |
|
505 |
494 |
$0.00 |
| 90677 |
|
70 |
70 |
$0.00 |
| 90723 |
|
471 |
468 |
$0.00 |
| 90686 |
|
1,185 |
1,142 |
$0.00 |
| 90680 |
|
762 |
755 |
$0.00 |
| 90651 |
|
265 |
254 |
$0.00 |
| 90696 |
|
39 |
39 |
$0.00 |
| 90716 |
|
37 |
37 |
$0.00 |
| 90619 |
|
33 |
33 |
$0.00 |
| 90698 |
|
42 |
42 |
$0.00 |