| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
777 |
692 |
$56K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
230 |
209 |
$24K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
151 |
149 |
$16K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
146 |
135 |
$15K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
89 |
87 |
$9K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
311 |
305 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
43 |
42 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
143 |
138 |
$5K |
| 96160 |
|
232 |
227 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
316 |
301 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
145 |
145 |
$3K |
| 92552 |
|
193 |
191 |
$2K |
| 99174 |
|
70 |
70 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
114 |
107 |
$1K |
| 99173 |
|
156 |
155 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
19 |
19 |
$773.69 |
| 36416 |
|
232 |
229 |
$761.94 |
| 81000 |
|
240 |
236 |
$681.96 |
| 94760 |
|
261 |
232 |
$412.66 |
| 85018 |
|
231 |
226 |
$2.26 |
| 90670 |
|
28 |
26 |
$0.00 |
| 90633 |
|
26 |
24 |
$0.00 |
| 90649 |
|
14 |
14 |
$0.00 |
| 90698 |
|
12 |
12 |
$0.00 |
| 90686 |
|
47 |
47 |
$0.00 |