| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,579 |
2,295 |
$122K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
578 |
530 |
$42K |
| 87428 |
|
758 |
707 |
$41K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,048 |
930 |
$41K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
427 |
409 |
$31K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
297 |
244 |
$20K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
160 |
148 |
$13K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,488 |
1,170 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
301 |
270 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,014 |
935 |
$7K |
| 96127 |
|
657 |
474 |
$3K |
| 99177 |
|
389 |
357 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
12 |
$972.24 |
| 96160 |
|
295 |
282 |
$874.81 |
| 92587 |
|
119 |
113 |
$804.15 |
| 87807 |
|
108 |
105 |
$674.03 |
| 83655 |
|
80 |
72 |
$482.40 |
| 90461 |
|
587 |
511 |
$255.81 |
| 90677 |
|
49 |
34 |
$253.21 |
| 90670 |
|
183 |
160 |
$226.43 |
| 96161 |
|
112 |
72 |
$221.61 |
| 85018 |
|
87 |
75 |
$109.68 |
| 90688 |
|
134 |
117 |
$18.83 |
| 36416 |
|
243 |
210 |
$1.36 |
| 90710 |
|
56 |
54 |
$0.00 |
| 90658 |
|
46 |
43 |
$0.00 |
| 90633 |
|
50 |
46 |
$0.00 |
| 90698 |
|
232 |
198 |
$0.00 |
| 90680 |
|
67 |
56 |
$0.00 |
| 90744 |
|
48 |
39 |
$0.00 |