| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,497 |
1,317 |
$72K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
691 |
651 |
$44K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
978 |
885 |
$18K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
228 |
220 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
384 |
361 |
$7K |
| 90461 |
|
474 |
430 |
$5K |
| 92551 |
|
638 |
593 |
$5K |
| 90651 |
|
131 |
125 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
104 |
99 |
$3K |
| 90677 |
|
32 |
31 |
$2K |
| 99383 |
|
47 |
41 |
$2K |
| 90619 |
|
13 |
12 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
41 |
41 |
$1K |
| 90671 |
|
14 |
13 |
$922.70 |
| 99384 |
|
13 |
13 |
$808.15 |
| 90633 |
|
268 |
231 |
$681.17 |
| 90686 |
|
478 |
373 |
$618.92 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$592.42 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
52 |
45 |
$501.14 |
| 96127 |
|
169 |
162 |
$363.54 |
| 90716 |
|
26 |
26 |
$319.98 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$264.00 |
| 99173 |
|
738 |
643 |
$190.96 |
| 92558 |
|
55 |
47 |
$106.66 |
| 90656 |
|
55 |
55 |
$89.40 |
| 96160 |
|
44 |
41 |
$82.85 |
| 3078F |
|
1,223 |
989 |
$2.00 |
| 3074F |
|
1,283 |
1,028 |
$2.00 |
| 1159F |
|
1,190 |
960 |
$1.00 |
| 99080 |
|
95 |
95 |
$1.00 |
| 1160F |
|
1,169 |
947 |
$1.00 |
| 3210F |
|
13 |
13 |
$0.00 |
| 3079F |
|
80 |
70 |
$0.00 |
| 4037F |
|
158 |
144 |
$0.00 |
| 90698 |
|
26 |
16 |
$0.00 |