| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,637 |
4,069 |
$194K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,397 |
3,222 |
$69K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
908 |
861 |
$54K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,301 |
2,246 |
$44K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
634 |
619 |
$37K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
338 |
337 |
$21K |
| 90461 |
|
1,132 |
1,068 |
$17K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
239 |
233 |
$13K |
| 92552 |
|
553 |
547 |
$7K |
| 90686 |
|
550 |
537 |
$5K |
| 99188 |
|
139 |
139 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
27 |
27 |
$2K |
| 0071A |
|
33 |
33 |
$1K |
| 0072A |
|
32 |
32 |
$1K |
| 99383 |
|
13 |
13 |
$1K |
| 90670 |
|
41 |
37 |
$710.85 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
42 |
41 |
$523.90 |
| 99173 |
|
337 |
331 |
$461.79 |
| 90656 |
|
67 |
67 |
$377.67 |
| 99174 |
|
13 |
13 |
$60.21 |
| 99072 |
|
28 |
26 |
$0.00 |
| 91307 |
|
49 |
42 |
$0.00 |
| 90744 |
|
16 |
15 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |