| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,453 |
4,283 |
$197K |
| 99383 |
|
499 |
499 |
$54K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
394 |
394 |
$39K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,264 |
1,146 |
$37K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
320 |
320 |
$34K |
| 99382 |
|
269 |
269 |
$29K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
431 |
415 |
$27K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,642 |
1,640 |
$27K |
| 99384 |
|
173 |
172 |
$20K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,075 |
808 |
$13K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
956 |
686 |
$10K |
| 99000 |
|
881 |
841 |
$9K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
86 |
80 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
69 |
69 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
368 |
367 |
$6K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
64 |
64 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
60 |
30 |
$1K |
| 87428 |
|
12 |
12 |
$409.80 |
| 94760 |
|
327 |
312 |
$52.22 |
| 90677 |
|
160 |
160 |
$0.00 |
| 90656 |
|
1,735 |
1,734 |
$0.00 |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
113 |
57 |
$0.00 |
| 90651 |
|
33 |
33 |
$0.00 |
| 90619 |
|
29 |
29 |
$0.00 |
| 90716 |
|
14 |
14 |
$0.00 |
| 90707 |
|
14 |
14 |
$0.00 |
| 90633 |
|
118 |
118 |
$0.00 |