| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,664 |
3,346 |
$199K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,106 |
2,063 |
$60K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
604 |
604 |
$48K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
660 |
660 |
$47K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,833 |
1,734 |
$44K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
418 |
417 |
$31K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
209 |
204 |
$14K |
| 90461 |
|
132 |
131 |
$5K |
| 99401 |
|
1,434 |
1,430 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
786 |
785 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
335 |
328 |
$2K |
| 99441 |
|
74 |
70 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
60 |
52 |
$775.52 |
| 81000 |
|
255 |
251 |
$732.40 |
| 90658 |
|
64 |
64 |
$310.08 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
12 |
12 |
$61.12 |
| 81002 |
|
16 |
16 |
$30.68 |
| 90686 |
|
249 |
248 |
$12.73 |
| 99000 |
|
462 |
448 |
$5.09 |
| 90670 |
|
24 |
24 |
$0.00 |
| 90734 |
|
54 |
54 |
$0.00 |
| 90715 |
|
18 |
18 |
$0.00 |
| 90651 |
|
118 |
118 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |