| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,645 |
13,395 |
$1.07M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,904 |
1,903 |
$199K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,225 |
1,225 |
$129K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,131 |
1,114 |
$112K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
610 |
593 |
$65K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
537 |
536 |
$62K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,492 |
4,476 |
$43K |
| 99050 |
|
4,561 |
4,410 |
$29K |
| 87081 |
|
5,880 |
5,665 |
$26K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
6,689 |
6,433 |
$23K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,488 |
754 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
235 |
230 |
$11K |
| 85018 |
|
1,044 |
1,043 |
$2K |
| 69210 |
|
24 |
24 |
$1K |
| 99441 |
|
38 |
38 |
$971.27 |
| 90461 |
|
1,119 |
1,116 |
$509.40 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
210 |
210 |
$305.04 |
| 90686 |
|
803 |
801 |
$253.39 |
| 90723 |
|
379 |
379 |
$250.00 |
| 96127 |
|
16 |
12 |
$141.30 |
| 81003 |
|
65 |
60 |
$110.87 |
| 94760 |
|
1,086 |
994 |
$62.44 |
| 90707 |
|
430 |
429 |
$40.00 |
| 90647 |
|
216 |
216 |
$25.00 |
| 83655 |
|
116 |
116 |
$0.43 |
| 90670 |
|
465 |
465 |
$0.00 |
| 90734 |
|
44 |
44 |
$0.00 |
| 90715 |
|
37 |
37 |
$0.00 |
| 36416 |
|
1,200 |
1,199 |
$0.00 |
| 90716 |
|
82 |
82 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |