| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,147 |
1,969 |
$89K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,373 |
1,233 |
$83K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,958 |
1,802 |
$79K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
712 |
670 |
$44K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
663 |
638 |
$42K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
497 |
478 |
$29K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
399 |
379 |
$28K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
304 |
283 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,110 |
1,033 |
$7K |
| 92551 |
|
591 |
568 |
$4K |
| 92015 |
Determination of refractive state |
205 |
183 |
$4K |
| 96127 |
|
1,015 |
970 |
$4K |
| 92552 |
|
263 |
241 |
$4K |
| 94762 |
|
259 |
242 |
$3K |
| 99205 |
Prolong outpt/office vis |
13 |
13 |
$2K |
| 99381 |
|
15 |
15 |
$1K |
| 81000 |
|
1,770 |
1,664 |
$879.18 |
| 85014 |
|
2,404 |
2,278 |
$830.05 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
14 |
$655.50 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
119 |
110 |
$481.38 |
| 92558 |
|
350 |
333 |
$184.31 |
| 92567 |
|
12 |
12 |
$132.45 |
| 92587 |
|
76 |
74 |
$114.84 |
| 94760 |
|
195 |
171 |
$95.52 |
| 90670 |
|
659 |
645 |
$75.00 |
| 90723 |
|
228 |
223 |
$60.00 |
| 99173 |
|
405 |
391 |
$48.66 |
| 90648 |
|
238 |
235 |
$17.46 |
| 99000 |
|
411 |
387 |
$0.00 |
| 90680 |
|
65 |
60 |
$0.00 |
| 90698 |
|
51 |
50 |
$0.00 |
| 90716 |
|
77 |
70 |
$0.00 |
| 90696 |
|
14 |
13 |
$0.00 |
| 90649 |
|
158 |
152 |
$0.00 |
| 90734 |
|
106 |
99 |
$0.00 |
| 90633 |
|
162 |
158 |
$0.00 |
| 90707 |
|
77 |
70 |
$0.00 |
| 90710 |
|
88 |
86 |
$0.00 |
| 90461 |
|
38 |
38 |
$0.00 |
| 90715 |
|
47 |
43 |
$0.00 |
| 90658 |
|
18 |
17 |
$0.00 |
| 90681 |
|
13 |
13 |
$0.00 |