| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,210 |
4,146 |
$253K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,880 |
1,639 |
$143K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,740 |
1,447 |
$119K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
881 |
688 |
$63K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
508 |
480 |
$39K |
| 90670 |
|
1,038 |
922 |
$15K |
| 90686 |
|
1,235 |
1,122 |
$13K |
| 83655 |
|
1,096 |
1,001 |
$13K |
| 90677 |
|
161 |
150 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
139 |
126 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
449 |
395 |
$8K |
| 90648 |
|
730 |
645 |
$7K |
| 87428 |
|
97 |
97 |
$6K |
| 90723 |
|
397 |
356 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
231 |
170 |
$4K |
| 90633 |
|
380 |
327 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
215 |
183 |
$3K |
| 85018 |
|
1,231 |
1,099 |
$3K |
| 90697 |
|
128 |
95 |
$2K |
| 90656 |
|
108 |
107 |
$2K |
| 90698 |
|
211 |
174 |
$1K |
| 90680 |
|
202 |
170 |
$1K |
| 99383 |
|
12 |
12 |
$1K |
| 87807 |
|
79 |
59 |
$784.68 |
| 90744 |
|
117 |
101 |
$729.60 |
| 90681 |
|
65 |
65 |
$663.44 |
| 90651 |
|
39 |
38 |
$590.43 |
| 90710 |
|
15 |
15 |
$310.37 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
27 |
24 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
21 |
21 |
$0.00 |