| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,001 |
7,796 |
$309K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,917 |
1,775 |
$153K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,821 |
1,694 |
$134K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,345 |
1,221 |
$87K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
9,697 |
3,612 |
$60K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
573 |
519 |
$35K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
535 |
509 |
$26K |
| 90461 |
|
2,739 |
1,990 |
$15K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,058 |
843 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
337 |
324 |
$4K |
| 96161 |
|
1,929 |
1,788 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
41 |
38 |
$3K |
| 90620 |
|
398 |
367 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
118 |
63 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
54 |
52 |
$1K |
| 99381 |
|
12 |
12 |
$1K |
| 90651 |
|
728 |
645 |
$1K |
| 99050 |
|
33 |
32 |
$478.08 |
| 86580 |
|
70 |
69 |
$475.33 |
| 90734 |
|
736 |
658 |
$439.19 |
| CP002 |
|
28 |
25 |
$274.40 |
| 90670 |
|
894 |
777 |
$0.00 |
| 90633 |
|
456 |
420 |
$0.00 |
| 99051 |
|
12 |
12 |
$0.00 |
| 90715 |
|
263 |
245 |
$0.00 |
| 90700 |
|
88 |
86 |
$0.00 |
| 90710 |
|
132 |
124 |
$0.00 |
| 90707 |
|
57 |
57 |
$0.00 |
| 99173 |
|
29 |
29 |
$0.00 |
| 90647 |
|
807 |
708 |
$0.00 |
| 90686 |
|
507 |
452 |
$0.00 |
| 90680 |
|
175 |
161 |
$0.00 |
| 90723 |
|
583 |
526 |
$0.00 |
| 90696 |
|
113 |
108 |
$0.00 |
| 90716 |
|
55 |
52 |
$0.00 |