| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,267 |
2,037 |
$126K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
795 |
759 |
$65K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
416 |
403 |
$32K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
385 |
366 |
$28K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
290 |
283 |
$22K |
| 94010 |
|
421 |
408 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
135 |
130 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
586 |
560 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
177 |
172 |
$6K |
| 90670 |
|
288 |
284 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
429 |
414 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
113 |
111 |
$3K |
| 90686 |
|
214 |
202 |
$2K |
| 90648 |
|
189 |
185 |
$2K |
| 81002 |
|
640 |
612 |
$2K |
| 90651 |
|
55 |
55 |
$2K |
| 99174 |
|
270 |
254 |
$2K |
| 90633 |
|
140 |
135 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
390 |
376 |
$1K |
| 90723 |
|
121 |
121 |
$1K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$1K |
| 90681 |
|
89 |
89 |
$1K |
| 90734 |
|
38 |
38 |
$892.72 |
| 90698 |
|
59 |
58 |
$830.10 |
| 90710 |
|
63 |
60 |
$673.20 |
| 96127 |
|
138 |
134 |
$656.20 |
| 90685 |
|
62 |
58 |
$653.24 |
| 90461 |
|
249 |
242 |
$631.16 |
| 99173 |
|
190 |
186 |
$466.69 |
| 69210 |
|
16 |
12 |
$440.54 |
| 90700 |
|
13 |
13 |
$178.00 |