| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
338 |
302 |
$16K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
210 |
195 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
216 |
189 |
$12K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
188 |
174 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
94 |
92 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
76 |
76 |
$4K |
| 90670 |
|
181 |
165 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
61 |
58 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
348 |
299 |
$2K |
| 92551 |
|
239 |
232 |
$1K |
| 90686 |
|
113 |
113 |
$721.30 |
| 90651 |
|
36 |
35 |
$436.93 |
| 90734 |
|
23 |
23 |
$376.38 |
| 90698 |
|
32 |
32 |
$363.00 |
| 90648 |
|
52 |
50 |
$329.85 |
| 90710 |
|
15 |
15 |
$275.00 |
| 90696 |
|
31 |
27 |
$248.70 |
| 99173 |
|
163 |
156 |
$244.53 |
| 90680 |
|
20 |
20 |
$220.00 |
| 96127 |
|
56 |
53 |
$201.28 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
28 |
19 |
$194.04 |
| 90685 |
|
12 |
12 |
$145.20 |
| 90744 |
|
12 |
12 |
$140.80 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
356 |
332 |
$115.60 |
| 99174 |
|
14 |
12 |
$77.81 |
| 90461 |
|
184 |
165 |
$57.80 |
| 96160 |
|
15 |
13 |
$21.01 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
28 |
28 |
$3.40 |