| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,678 |
4,816 |
$381K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,924 |
2,860 |
$68K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
368 |
368 |
$30K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
266 |
265 |
$21K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
129 |
129 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
126 |
126 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,250 |
2,243 |
$9K |
| 90461 |
|
328 |
327 |
$6K |
| 92558 |
|
1,281 |
1,280 |
$2K |
| 90660 |
|
84 |
84 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
181 |
176 |
$1K |
| 90686 |
|
361 |
361 |
$546.05 |
| 99174 |
|
202 |
202 |
$170.30 |
| 99173 |
|
574 |
574 |
$163.89 |
| 90672 |
|
40 |
40 |
$26.88 |
| 90700 |
|
79 |
79 |
$0.00 |
| 90670 |
|
12 |
12 |
$0.00 |
| 90713 |
|
12 |
12 |
$0.00 |