| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,876 |
1,707 |
$68K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
523 |
522 |
$41K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
421 |
418 |
$35K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,001 |
1,356 |
$23K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
396 |
378 |
$20K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
202 |
191 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
95 |
95 |
$8K |
| 90461 |
|
694 |
586 |
$6K |
| 99000 |
|
202 |
199 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
145 |
144 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
175 |
174 |
$1K |
| 96160 |
|
50 |
50 |
$126.50 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
29 |
29 |
$43.98 |
| 90686 |
|
379 |
378 |
$0.01 |
| 90672 |
|
77 |
76 |
$0.00 |
| 90648 |
|
162 |
161 |
$0.00 |
| 90670 |
|
167 |
166 |
$0.00 |
| 90707 |
|
51 |
50 |
$0.00 |
| 90633 |
|
38 |
38 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 90716 |
|
40 |
39 |
$0.00 |
| 90723 |
|
85 |
85 |
$0.00 |
| 90680 |
|
48 |
48 |
$0.00 |