| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,669 |
1,533 |
$118K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
492 |
457 |
$51K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
299 |
279 |
$27K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
203 |
196 |
$21K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
218 |
215 |
$11K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
617 |
604 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
85 |
83 |
$9K |
| 85018 |
|
456 |
441 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
103 |
96 |
$4K |
| 90670 |
|
189 |
186 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
36 |
35 |
$4K |
| 90686 |
|
174 |
174 |
$4K |
| 90648 |
|
118 |
115 |
$2K |
| 90685 |
|
95 |
95 |
$2K |
| 96127 |
|
251 |
242 |
$1K |
| 90633 |
|
54 |
53 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
65 |
63 |
$1K |
| 90723 |
|
43 |
41 |
$856.44 |
| 90651 |
|
25 |
25 |
$549.00 |
| 90681 |
|
13 |
13 |
$263.52 |
| 94760 |
|
32 |
32 |
$5.82 |