| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,124 |
1,835 |
$109K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
249 |
248 |
$18K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
121 |
120 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
124 |
121 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
95 |
87 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
42 |
42 |
$4K |
| 90670 |
|
159 |
157 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
232 |
227 |
$3K |
| 90698 |
|
59 |
58 |
$1K |
| 99000 |
|
269 |
254 |
$893.12 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
112 |
101 |
$842.43 |
| 90651 |
|
28 |
28 |
$820.07 |
| 90707 |
|
44 |
43 |
$661.59 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,292 |
577 |
$532.57 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
35 |
34 |
$471.20 |
| 90461 |
|
717 |
222 |
$317.25 |
| 90648 |
|
29 |
28 |
$316.71 |
| 90633 |
|
28 |
28 |
$311.96 |
| 36415 |
Collection of venous blood by venipuncture |
111 |
104 |
$300.09 |
| 90716 |
|
13 |
13 |
$258.34 |
| 90686 |
|
20 |
20 |
$211.97 |
| 90723 |
|
14 |
14 |
$155.98 |
| 90680 |
|
12 |
12 |
$132.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
12 |
$3.40 |