| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,102 |
986 |
$70K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
418 |
399 |
$46K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
199 |
181 |
$8K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
271 |
266 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
346 |
342 |
$4K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
27 |
26 |
$3K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
78 |
73 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
24 |
24 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$1K |
| 99199 |
Unlisted special service, procedure or report |
51 |
51 |
$1K |
| 92587 |
|
24 |
24 |
$1K |
| 90461 |
|
24 |
24 |
$422.35 |
| 99050 |
|
13 |
13 |
$383.46 |
| 99441 |
|
17 |
13 |
$252.96 |
| 87070 |
|
16 |
16 |
$125.60 |
| 99177 |
|
29 |
29 |
$125.08 |