| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,441 |
2,091 |
$86K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
628 |
597 |
$47K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
595 |
542 |
$44K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
609 |
555 |
$29K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,426 |
922 |
$28K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,425 |
1,298 |
$18K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,500 |
1,215 |
$12K |
| 99429 |
|
233 |
210 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
254 |
131 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
28 |
28 |
$2K |
| 90461 |
|
688 |
584 |
$1K |
| 99000 |
|
74 |
70 |
$724.34 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
48 |
39 |
$512.92 |
| 92551 |
|
202 |
188 |
$67.37 |
| 96160 |
|
73 |
48 |
$40.50 |
| 96161 |
|
25 |
24 |
$2.25 |
| 90686 |
|
140 |
133 |
$0.00 |
| 90680 |
|
78 |
76 |
$0.00 |
| 90698 |
|
134 |
132 |
$0.00 |
| 90677 |
|
45 |
45 |
$0.00 |
| 90744 |
|
13 |
13 |
$0.00 |
| 90670 |
|
135 |
120 |
$0.00 |
| 90671 |
|
122 |
119 |
$0.00 |
| 99173 |
|
157 |
147 |
$0.00 |
| 90633 |
|
32 |
31 |
$0.00 |