| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,714 |
2,564 |
$176K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
988 |
911 |
$88K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
385 |
373 |
$34K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
361 |
343 |
$32K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,263 |
1,344 |
$31K |
| 90461 |
|
488 |
410 |
$16K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
111 |
90 |
$9K |
| 99050 |
|
273 |
265 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
63 |
59 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
345 |
328 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
291 |
279 |
$3K |
| 87428 |
|
36 |
36 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
141 |
72 |
$2K |
| 92587 |
|
25 |
25 |
$1K |
| 96127 |
|
382 |
294 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
20 |
17 |
$606.62 |
| 96160 |
|
100 |
95 |
$345.24 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
27 |
25 |
$305.94 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
15 |
$287.40 |
| 87807 |
|
25 |
22 |
$217.26 |
| 90686 |
|
318 |
289 |
$153.73 |
| 96161 |
|
29 |
25 |
$106.81 |
| 99173 |
|
24 |
24 |
$83.07 |
| 99000 |
|
15 |
15 |
$38.35 |