| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,861 |
8,146 |
$492K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,664 |
2,586 |
$214K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,677 |
1,668 |
$138K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,414 |
1,410 |
$128K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,168 |
3,141 |
$113K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,122 |
1,114 |
$90K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
562 |
559 |
$43K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
836 |
786 |
$29K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
326 |
323 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
240 |
240 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
113 |
112 |
$3K |
| 0001A |
|
12 |
12 |
$480.00 |
| 0002A |
|
14 |
14 |
$480.00 |
| 96127 |
|
70 |
70 |
$327.60 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12 |
12 |
$156.24 |
| 99173 |
|
1,565 |
1,347 |
$3.24 |
| 90680 |
|
101 |
101 |
$0.00 |
| 90651 |
|
158 |
137 |
$0.00 |
| 90686 |
|
933 |
890 |
$0.00 |
| 90619 |
|
104 |
85 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |
| 90620 |
|
119 |
83 |
$0.00 |
| 90656 |
|
113 |
56 |
$0.00 |
| 90697 |
|
13 |
12 |
$0.00 |
| 90670 |
|
349 |
331 |
$0.00 |
| 90671 |
|
58 |
53 |
$0.00 |
| 90734 |
|
102 |
92 |
$0.00 |
| 99408 |
|
93 |
50 |
$0.00 |
| 90648 |
|
54 |
53 |
$0.00 |
| 90672 |
|
17 |
17 |
$0.00 |