| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,465 |
2,647 |
$191K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
479 |
458 |
$42K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
461 |
445 |
$41K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,082 |
1,032 |
$37K |
| 90461 |
|
754 |
723 |
$14K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
357 |
276 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
56 |
56 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
40 |
35 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
224 |
207 |
$3K |
| 90670 |
|
459 |
444 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
33 |
32 |
$3K |
| 92551 |
|
331 |
302 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26 |
24 |
$2K |
| 99381 |
|
17 |
13 |
$1K |
| 99173 |
|
389 |
351 |
$735.79 |
| 90686 |
|
251 |
242 |
$419.68 |
| 87807 |
|
26 |
25 |
$319.68 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
21 |
19 |
$108.36 |
| 90698 |
|
69 |
67 |
$82.25 |
| 90633 |
|
110 |
104 |
$74.00 |
| 90648 |
|
175 |
168 |
$17.81 |
| 90710 |
|
74 |
71 |
$0.00 |
| 90681 |
|
120 |
115 |
$0.00 |
| 90647 |
|
77 |
75 |
$0.00 |
| 90723 |
|
262 |
253 |
$0.00 |
| 90744 |
|
30 |
29 |
$0.00 |