| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,272 |
15,645 |
$1.51M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,152 |
5,427 |
$706K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,746 |
2,744 |
$290K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,741 |
8,568 |
$265K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,008 |
2,005 |
$231K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,193 |
2,188 |
$230K |
| 92585 |
|
1,655 |
1,638 |
$114K |
| 92567 |
|
5,958 |
5,930 |
$106K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
7,321 |
7,301 |
$92K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
656 |
652 |
$63K |
| 99173 |
|
4,413 |
4,402 |
$15K |
| 92587 |
|
318 |
312 |
$3K |
| 99174 |
|
504 |
504 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
72 |
71 |
$874.20 |
| 90649 |
|
123 |
122 |
$345.70 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
17 |
17 |
$199.59 |
| 90660 |
|
161 |
160 |
$87.56 |
| 90686 |
|
513 |
513 |
$37.94 |
| 90658 |
|
338 |
338 |
$34.56 |
| 90619 |
|
118 |
117 |
$0.00 |
| 90651 |
|
157 |
157 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| 90657 |
|
14 |
14 |
$0.00 |
| 90672 |
|
192 |
192 |
$0.00 |
| 90734 |
|
58 |
58 |
$0.00 |