| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
335 |
322 |
$19K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
108 |
107 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
113 |
112 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
32 |
30 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
16 |
16 |
$1K |
| 90700 |
|
47 |
45 |
$557.18 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
172 |
170 |
$475.44 |
| 99173 |
|
165 |
165 |
$331.52 |
| 90716 |
|
14 |
14 |
$274.42 |
| 90707 |
|
13 |
13 |
$273.79 |
| 90713 |
|
14 |
14 |
$219.34 |
| 90461 |
|
83 |
80 |
$190.40 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15 |
15 |
$189.15 |
| 85014 |
|
66 |
66 |
$184.32 |
| 96161 |
|
89 |
59 |
$171.36 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$76.23 |
| 36416 |
|
75 |
75 |
$40.70 |
| 81002 |
|
12 |
12 |
$34.21 |