| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,956 |
2,931 |
$133K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,282 |
1,113 |
$65K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
419 |
412 |
$25K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
287 |
261 |
$19K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
443 |
425 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
238 |
187 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
110 |
110 |
$7K |
| 99382 |
|
48 |
45 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
210 |
198 |
$2K |
| 99383 |
|
40 |
36 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
18 |
17 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
78 |
75 |
$695.71 |
| 90461 |
|
271 |
234 |
$155.16 |
| 92551 |
|
171 |
129 |
$0.00 |
| 90723 |
|
33 |
29 |
$0.00 |
| 90647 |
|
15 |
15 |
$0.00 |
| 99173 |
|
172 |
128 |
$0.00 |
| 90648 |
|
61 |
55 |
$0.00 |
| 90670 |
|
67 |
62 |
$0.00 |