| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
537 |
450 |
$32K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
370 |
299 |
$31K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
268 |
238 |
$24K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
194 |
167 |
$17K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
496 |
437 |
$9K |
| 90461 |
|
351 |
305 |
$9K |
| 99188 |
|
283 |
255 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
515 |
456 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
78 |
64 |
$2K |
| 96161 |
|
181 |
134 |
$1K |
| 99460 |
|
15 |
15 |
$1K |
| 92552 |
|
33 |
27 |
$275.97 |
| 85018 |
|
48 |
43 |
$130.41 |
| 90670 |
|
196 |
170 |
$0.00 |
| 90685 |
|
66 |
62 |
$0.00 |
| 90648 |
|
189 |
169 |
$0.00 |
| 90681 |
|
32 |
26 |
$0.00 |
| 90633 |
|
29 |
25 |
$0.00 |
| 90723 |
|
133 |
118 |
$0.00 |