| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,776 |
1,588 |
$85K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,022 |
890 |
$74K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
681 |
571 |
$47K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
358 |
301 |
$28K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
445 |
379 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
109 |
99 |
$3K |
| 90670 |
|
210 |
172 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
103 |
98 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
102 |
98 |
$1K |
| 90677 |
|
71 |
68 |
$1K |
| 90680 |
|
130 |
108 |
$1K |
| 90633 |
|
129 |
97 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
33 |
32 |
$1K |
| 90656 |
|
55 |
53 |
$936.60 |
| 90686 |
|
95 |
79 |
$875.17 |
| 90698 |
|
121 |
94 |
$829.80 |
| 90697 |
|
38 |
37 |
$638.48 |
| 90716 |
|
37 |
24 |
$501.44 |
| 90685 |
|
72 |
67 |
$489.20 |
| 90744 |
|
70 |
58 |
$489.20 |
| 90707 |
|
42 |
27 |
$431.24 |
| 90688 |
|
58 |
55 |
$364.80 |
| 90700 |
|
36 |
27 |
$254.00 |
| 81002 |
|
66 |
63 |
$171.60 |
| 85018 |
|
52 |
49 |
$121.06 |
| 90647 |
|
12 |
12 |
$76.80 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
33 |
30 |
$0.00 |