| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,225 |
2,998 |
$114K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,033 |
1,914 |
$110K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
530 |
521 |
$51K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
522 |
502 |
$46K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,204 |
1,150 |
$31K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
191 |
186 |
$17K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
444 |
429 |
$11K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,177 |
1,064 |
$8K |
| 99188 |
|
368 |
355 |
$7K |
| 92551 |
|
736 |
721 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
46 |
46 |
$4K |
| 99173 |
|
778 |
768 |
$4K |
| 90461 |
|
98 |
97 |
$3K |
| 90686 |
|
235 |
229 |
$1K |
| 96127 |
|
110 |
108 |
$427.08 |
| 83655 |
|
30 |
28 |
$269.65 |
| 90670 |
|
51 |
51 |
$130.00 |
| 90648 |
|
48 |
48 |
$120.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$87.28 |
| 90672 |
|
12 |
12 |
$0.00 |