| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,028 |
1,691 |
$66K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
972 |
771 |
$61K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
587 |
499 |
$36K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,258 |
1,485 |
$35K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
407 |
368 |
$18K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,118 |
1,601 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,109 |
968 |
$14K |
| 99429 |
|
326 |
291 |
$10K |
| 90461 |
|
1,164 |
898 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
77 |
72 |
$5K |
| 92551 |
|
259 |
221 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
16 |
15 |
$1K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
229 |
156 |
$1K |
| 99383 |
|
12 |
12 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
71 |
35 |
$917.40 |
| 99000 |
|
44 |
42 |
$453.60 |
| 96160 |
|
114 |
60 |
$72.00 |
| 96161 |
|
109 |
83 |
$6.75 |
| 90671 |
|
124 |
80 |
$0.01 |
| 99173 |
|
146 |
122 |
$0.00 |
| 90670 |
|
366 |
351 |
$0.00 |
| 90633 |
|
125 |
110 |
$0.00 |
| 90680 |
|
254 |
218 |
$0.00 |
| 90744 |
|
148 |
127 |
$0.00 |
| 90686 |
|
372 |
335 |
$0.00 |
| 90698 |
|
357 |
302 |
$0.00 |
| 90651 |
|
13 |
12 |
$0.00 |