| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,432 |
3,989 |
$297K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,429 |
2,219 |
$174K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,905 |
1,900 |
$160K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,783 |
3,730 |
$93K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,050 |
4,020 |
$42K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
425 |
425 |
$38K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
263 |
257 |
$27K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
645 |
585 |
$20K |
| 92551 |
|
1,163 |
1,162 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
59 |
59 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
65 |
64 |
$5K |
| D0190 |
|
273 |
272 |
$4K |
| 99381 |
|
28 |
28 |
$3K |
| 96127 |
|
880 |
879 |
$3K |
| 99188 |
|
288 |
286 |
$2K |
| 99383 |
|
20 |
20 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
28 |
28 |
$569.10 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
19 |
14 |
$199.18 |
| 98966 |
|
33 |
31 |
$74.21 |
| 90670 |
|
1,253 |
1,248 |
$0.00 |
| 90633 |
|
408 |
407 |
$0.00 |
| 90685 |
|
63 |
45 |
$0.00 |
| 90710 |
|
251 |
251 |
$0.00 |
| 90461 |
|
75 |
54 |
$0.00 |
| 90648 |
|
12 |
12 |
$0.00 |
| 90698 |
|
1,314 |
1,294 |
$0.00 |
| 90686 |
|
456 |
454 |
$0.00 |
| 90744 |
|
407 |
406 |
$0.00 |
| 90680 |
|
660 |
660 |
$0.00 |
| 90696 |
|
13 |
13 |
$0.00 |
| 90677 |
|
186 |
186 |
$0.00 |
| 90656 |
|
49 |
49 |
$0.00 |