| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,580 |
2,704 |
$140K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
688 |
622 |
$38K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
236 |
233 |
$24K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,364 |
726 |
$15K |
| 83655 |
|
786 |
753 |
$7K |
| 92551 |
|
791 |
755 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
74 |
69 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
233 |
199 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
57 |
55 |
$780.68 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
15 |
$413.10 |
| 96160 |
|
236 |
221 |
$385.24 |
| 90461 |
|
187 |
142 |
$382.70 |
| 90686 |
|
277 |
267 |
$82.00 |
| 83026 |
|
25 |
24 |
$77.91 |
| 96127 |
|
896 |
850 |
$0.00 |
| 99173 |
|
788 |
759 |
$0.00 |