| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,124 |
5,147 |
$261K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
500 |
498 |
$35K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
482 |
482 |
$32K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,859 |
1,750 |
$29K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,086 |
1,036 |
$28K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
930 |
927 |
$17K |
| 92551 |
|
1,612 |
1,604 |
$14K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
93 |
92 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
252 |
241 |
$3K |
| 90461 |
|
108 |
106 |
$2K |
| 92567 |
|
223 |
191 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
290 |
276 |
$1K |
| 99173 |
|
1,521 |
1,509 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
333 |
327 |
$608.46 |
| 99442 |
|
35 |
31 |
$440.40 |
| 3008F |
|
1,037 |
1,033 |
$146.00 |
| 90688 |
|
14 |
14 |
$75.36 |
| 99000 |
|
2,607 |
2,453 |
$19.04 |