| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,909 |
4,438 |
$366K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,447 |
2,396 |
$51K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
484 |
445 |
$47K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
125 |
125 |
$10K |
| 92551 |
|
795 |
795 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
62 |
62 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
53 |
53 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
68 |
66 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
442 |
433 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
188 |
188 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
62 |
62 |
$2K |
| 90461 |
|
93 |
91 |
$1K |
| 81002 |
|
605 |
601 |
$1K |
| 99173 |
|
637 |
637 |
$781.74 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
104 |
103 |
$715.08 |
| 96127 |
|
63 |
50 |
$233.44 |
| 87070 |
|
13 |
13 |
$91.36 |
| 90656 |
|
39 |
39 |
$88.22 |
| 87184 |
|
13 |
13 |
$72.56 |
| 96160 |
|
13 |
13 |
$37.44 |
| 90686 |
|
398 |
392 |
$22.65 |
| 99000 |
|
853 |
829 |
$0.00 |
| 99174 |
|
13 |
13 |
$0.00 |