| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
497 |
439 |
$51K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
156 |
142 |
$23K |
| 90461 |
|
198 |
195 |
$18K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
324 |
317 |
$9K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
70 |
64 |
$8K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
57 |
33 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
312 |
311 |
$5K |
| 92552 |
|
130 |
130 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
25 |
25 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
14 |
$2K |
| 96127 |
|
82 |
80 |
$999.13 |
| 99173 |
|
27 |
27 |
$789.28 |
| 96160 |
|
102 |
101 |
$415.13 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$222.72 |
| 90656 |
|
62 |
62 |
$0.00 |
| 90677 |
|
26 |
26 |
$0.00 |
| 90686 |
|
14 |
14 |
$0.00 |