| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,315 |
4,007 |
$308K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,632 |
1,621 |
$155K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,148 |
1,142 |
$119K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,036 |
1,003 |
$99K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,124 |
3,083 |
$70K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,866 |
1,813 |
$54K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
432 |
431 |
$49K |
| 0071A |
|
55 |
50 |
$1K |
| 0002A |
|
44 |
33 |
$1K |
| 0072A |
|
32 |
26 |
$800.02 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
63 |
62 |
$635.58 |
| 0001A |
|
19 |
17 |
$560.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
36 |
36 |
$527.80 |
| 90670 |
|
502 |
500 |
$30.00 |
| 90647 |
|
218 |
218 |
$0.00 |
| 90688 |
|
377 |
376 |
$0.00 |
| 90651 |
|
69 |
69 |
$0.00 |
| 90723 |
|
178 |
177 |
$0.00 |
| 90680 |
|
110 |
110 |
$0.00 |
| 91307 |
|
13 |
13 |
$0.00 |
| 90734 |
|
40 |
40 |
$0.00 |
| 90710 |
|
43 |
41 |
$0.00 |
| 90671 |
|
27 |
27 |
$0.00 |
| 90633 |
|
14 |
14 |
$0.00 |