| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,777 |
2,585 |
$148K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
948 |
932 |
$71K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
647 |
647 |
$55K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,523 |
1,514 |
$49K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
121 |
121 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
191 |
190 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
102 |
100 |
$3K |
| 87807 |
|
87 |
85 |
$1K |
| 99173 |
|
157 |
157 |
$431.01 |
| 99188 |
|
29 |
29 |
$429.25 |
| 92567 |
|
17 |
17 |
$220.83 |
| 96161 |
|
12 |
12 |
$49.20 |