| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,839 |
5,381 |
$274K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,021 |
3,730 |
$217K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,786 |
1,726 |
$116K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,638 |
1,578 |
$100K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,298 |
1,258 |
$95K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,254 |
1,138 |
$69K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,787 |
3,406 |
$33K |
| 90686 |
|
788 |
765 |
$13K |
| 90670 |
|
989 |
946 |
$12K |
| 90698 |
|
974 |
931 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,189 |
2,955 |
$9K |
| 90680 |
|
458 |
437 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
488 |
471 |
$4K |
| 90633 |
|
255 |
253 |
$4K |
| 90651 |
|
233 |
228 |
$3K |
| 96127 |
|
429 |
412 |
$2K |
| 90734 |
|
214 |
201 |
$2K |
| 90710 |
|
207 |
200 |
$2K |
| 90744 |
|
123 |
118 |
$832.59 |
| 90619 |
|
12 |
12 |
$228.86 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
13 |
$222.09 |
| 87807 |
|
105 |
100 |
$157.71 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,486 |
3,955 |
$0.00 |
| 90461 |
|
441 |
299 |
$0.00 |
| 90685 |
|
19 |
15 |
$0.00 |
| 99000 |
|
21 |
18 |
$0.00 |