| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,890 |
2,361 |
$176K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
746 |
678 |
$66K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
427 |
401 |
$32K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
295 |
283 |
$22K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
276 |
269 |
$21K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
248 |
182 |
$15K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
63 |
59 |
$7K |
| 92551 |
|
642 |
608 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
656 |
610 |
$6K |
| 87428 |
|
149 |
142 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
971 |
802 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
142 |
134 |
$5K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
126 |
124 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
195 |
189 |
$3K |
| 90671 |
|
138 |
113 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
31 |
29 |
$2K |
| 99173 |
|
708 |
673 |
$2K |
| 99383 |
|
21 |
16 |
$1K |
| 90633 |
|
62 |
54 |
$916.36 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
65 |
49 |
$853.78 |
| 90686 |
|
80 |
71 |
$793.69 |
| 90698 |
|
46 |
42 |
$636.00 |
| 96127 |
|
121 |
113 |
$579.45 |
| 96161 |
|
206 |
132 |
$392.73 |
| 90680 |
|
37 |
27 |
$392.00 |
| 87400 |
|
67 |
61 |
$381.15 |
| 90734 |
|
13 |
12 |
$246.00 |
| 96160 |
|
96 |
88 |
$197.71 |
| 90654 |
|
42 |
35 |
$194.66 |
| 90461 |
|
185 |
116 |
$157.80 |
| 85018 |
|
57 |
55 |
$122.30 |
| 90474 |
|
18 |
12 |
$18.06 |