| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,326 |
3,096 |
$175K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
607 |
590 |
$43K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
522 |
507 |
$39K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
359 |
356 |
$27K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
278 |
263 |
$17K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,076 |
1,052 |
$16K |
| 81000 |
|
1,286 |
1,254 |
$3K |
| 85018 |
|
1,757 |
1,719 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
50 |
49 |
$512.28 |
| 90658 |
|
69 |
67 |
$170.55 |
| 94010 |
|
14 |
13 |
$121.26 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
16 |
16 |
$46.00 |
| 99173 |
|
1,108 |
1,088 |
$45.90 |
| 97802 |
|
32 |
32 |
$5.00 |
| 90651 |
|
156 |
153 |
$0.00 |
| 90698 |
|
31 |
31 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |
| 90688 |
|
115 |
114 |
$0.00 |
| 90620 |
|
28 |
27 |
$0.00 |
| 90696 |
|
13 |
13 |
$0.00 |
| 90648 |
|
40 |
40 |
$0.00 |
| 90670 |
|
225 |
222 |
$0.00 |
| 90734 |
|
34 |
34 |
$0.00 |
| 90633 |
|
53 |
53 |
$0.00 |
| 99401 |
|
43 |
43 |
$0.00 |
| 90710 |
|
27 |
27 |
$0.00 |
| 90672 |
|
13 |
13 |
$0.00 |
| 90685 |
|
14 |
14 |
$0.00 |
| 90461 |
|
47 |
47 |
$0.00 |