| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,259 |
6,605 |
$306K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,239 |
1,222 |
$93K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
959 |
939 |
$71K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,350 |
1,278 |
$67K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
854 |
784 |
$62K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
578 |
555 |
$40K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,118 |
2,061 |
$39K |
| 97803 |
|
1,251 |
1,233 |
$24K |
| 99188 |
|
1,194 |
1,168 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
141 |
139 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,052 |
891 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
256 |
255 |
$4K |
| 92587 |
|
278 |
274 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
117 |
113 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$811.95 |
| 99381 |
|
17 |
13 |
$475.06 |
| 90461 |
|
843 |
767 |
$304.00 |
| 90686 |
|
372 |
371 |
$81.10 |
| 90716 |
|
74 |
74 |
$78.60 |
| 90700 |
|
511 |
491 |
$75.76 |
| 90648 |
|
263 |
252 |
$23.12 |
| 90707 |
|
89 |
88 |
$20.00 |
| 99174 |
|
1,971 |
1,808 |
$12.38 |
| 90713 |
|
324 |
312 |
$10.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
1,535 |
1,428 |
$0.00 |
| 90651 |
|
53 |
51 |
$0.00 |
| 90680 |
|
79 |
75 |
$0.00 |
| 90677 |
|
70 |
70 |
$0.00 |
| 90619 |
|
13 |
13 |
$0.00 |
| 90744 |
|
59 |
56 |
$0.00 |
| 90633 |
|
127 |
119 |
$0.00 |
| 90670 |
|
205 |
192 |
$0.00 |
| 90715 |
|
13 |
13 |
$0.00 |
| 90734 |
|
30 |
29 |
$0.00 |