| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,223 |
5,209 |
$447K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,916 |
1,623 |
$143K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,156 |
1,145 |
$122K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,921 |
2,812 |
$117K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
242 |
241 |
$24K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
179 |
171 |
$23K |
| 90461 |
|
1,253 |
1,179 |
$18K |
| 90670 |
|
449 |
418 |
$15K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,900 |
2,444 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
101 |
98 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
730 |
688 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
59 |
54 |
$4K |
| 99460 |
|
17 |
16 |
$1K |
| 99188 |
|
112 |
111 |
$1K |
| 90716 |
|
30 |
28 |
$783.68 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12 |
12 |
$146.52 |
| 90713 |
|
476 |
449 |
$138.81 |
| 96127 |
|
43 |
40 |
$106.49 |
| 90686 |
|
42 |
42 |
$89.06 |
| 90700 |
|
835 |
785 |
$75.76 |
| 90633 |
|
61 |
58 |
$34.85 |
| 90648 |
|
569 |
535 |
$11.56 |
| 90677 |
|
87 |
86 |
$0.00 |
| 90680 |
|
181 |
175 |
$0.00 |
| 90744 |
|
85 |
80 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |