| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,026 |
1,561 |
$107K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,898 |
1,640 |
$61K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
675 |
511 |
$48K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
641 |
513 |
$47K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
487 |
398 |
$37K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
301 |
264 |
$25K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,413 |
964 |
$18K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
155 |
127 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
399 |
206 |
$3K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
264 |
207 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
600 |
94 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
73 |
45 |
$1K |
| 99383 |
|
15 |
12 |
$1K |
| 90688 |
|
1,034 |
900 |
$1K |
| 90670 |
|
425 |
389 |
$863.24 |
| 85018 |
|
284 |
206 |
$621.33 |
| 36416 |
|
267 |
207 |
$607.22 |
| 90651 |
|
109 |
99 |
$491.38 |
| 90710 |
|
32 |
28 |
$450.00 |
| 90461 |
|
750 |
666 |
$325.00 |
| 90716 |
|
44 |
38 |
$292.54 |
| 90633 |
|
320 |
239 |
$191.45 |
| 90707 |
|
43 |
37 |
$169.30 |
| 90681 |
|
127 |
111 |
$140.79 |
| 90734 |
|
59 |
52 |
$139.41 |
| 96127 |
|
33 |
33 |
$133.12 |
| 90696 |
|
19 |
15 |
$120.00 |
| 90700 |
|
172 |
152 |
$107.65 |
| 90647 |
|
315 |
278 |
$93.99 |
| 81002 |
|
20 |
12 |
$43.42 |
| 87807 |
|
63 |
13 |
$23.26 |
| 90723 |
|
203 |
180 |
$0.00 |
| 96161 |
|
27 |
15 |
$0.00 |
| 90713 |
|
12 |
12 |
$0.00 |
| 90715 |
|
20 |
17 |
$0.00 |