| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,490 |
7,699 |
$472K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,222 |
1,222 |
$82K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,006 |
1,004 |
$74K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,645 |
3,618 |
$72K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
977 |
976 |
$64K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
513 |
509 |
$31K |
| 92567 |
|
407 |
402 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
437 |
437 |
$3K |
| 96127 |
|
903 |
901 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
24 |
24 |
$2K |
| 96160 |
|
855 |
853 |
$1K |
| 90619 |
|
78 |
78 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$1K |
| 90686 |
|
1,108 |
1,106 |
$582.01 |
| 99442 |
|
15 |
15 |
$521.39 |
| 90651 |
|
175 |
175 |
$434.22 |
| 97802 |
|
172 |
172 |
$428.21 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
23 |
13 |
$300.66 |
| 90671 |
|
137 |
134 |
$226.91 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
57 |
57 |
$192.49 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
56 |
53 |
$190.43 |
| 90656 |
|
283 |
282 |
$153.00 |
| 90715 |
|
25 |
25 |
$50.69 |
| 90680 |
|
69 |
68 |
$0.00 |
| 90723 |
|
108 |
106 |
$0.00 |
| 90620 |
|
38 |
38 |
$0.00 |
| 90670 |
|
69 |
69 |
$0.00 |
| 90633 |
|
116 |
116 |
$0.00 |
| 90648 |
|
188 |
186 |
$0.00 |
| 90685 |
|
13 |
13 |
$0.00 |
| 90461 |
|
22 |
22 |
$0.00 |
| 90734 |
|
26 |
26 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 99499 |
|
61 |
61 |
$0.00 |
| 99080 |
|
17 |
17 |
$0.00 |