| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,811 |
1,618 |
$112K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
949 |
896 |
$88K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,242 |
1,229 |
$67K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
633 |
633 |
$63K |
| 90461 |
|
950 |
942 |
$36K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
227 |
218 |
$22K |
| 99381 |
|
94 |
94 |
$10K |
| 99383 |
|
58 |
58 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
66 |
65 |
$6K |
| 99382 |
|
30 |
30 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
26 |
26 |
$3K |
| 99188 |
|
209 |
206 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
94 |
93 |
$641.93 |
| 36416 |
|
215 |
204 |
$562.07 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
71 |
69 |
$521.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
43 |
43 |
$303.40 |
| 94760 |
|
133 |
125 |
$283.78 |
| 85018 |
|
69 |
67 |
$73.10 |
| 90633 |
|
198 |
198 |
$4.93 |
| 90677 |
|
213 |
213 |
$1.04 |
| 90686 |
|
123 |
123 |
$0.01 |
| 90656 |
|
17 |
17 |
$0.01 |
| 90723 |
|
456 |
451 |
$0.00 |
| 99000 |
|
293 |
276 |
$0.00 |
| 90670 |
|
374 |
369 |
$0.00 |
| 90700 |
|
13 |
13 |
$0.00 |
| 90648 |
|
588 |
584 |
$0.00 |
| 90681 |
|
209 |
209 |
$0.00 |
| 90710 |
|
73 |
72 |
$0.00 |