| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,556 |
5,030 |
$389K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,439 |
3,134 |
$356K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,119 |
4,046 |
$126K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
392 |
354 |
$36K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
335 |
321 |
$33K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,223 |
1,181 |
$20K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
188 |
184 |
$20K |
| 92552 |
|
1,244 |
1,201 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
73 |
73 |
$9K |
| 96127 |
|
507 |
486 |
$8K |
| 99050 |
|
550 |
502 |
$7K |
| 99173 |
|
818 |
794 |
$6K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
16 |
15 |
$469.14 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$148.85 |
| 90686 |
|
1,476 |
1,417 |
$0.03 |
| 90670 |
|
32 |
28 |
$0.00 |
| 90698 |
|
51 |
51 |
$0.00 |