| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,356 |
11,079 |
$507K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,099 |
1,996 |
$133K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,279 |
6,144 |
$128K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,397 |
1,386 |
$70K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,180 |
1,137 |
$49K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,064 |
2,043 |
$46K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
717 |
715 |
$41K |
| 90461 |
|
1,329 |
1,309 |
$17K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,735 |
1,646 |
$16K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
208 |
206 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
992 |
425 |
$9K |
| 99401 |
|
731 |
723 |
$6K |
| 90619 |
|
47 |
47 |
$5K |
| 96127 |
|
1,449 |
1,432 |
$5K |
| 90670 |
|
113 |
111 |
$2K |
| 92558 |
|
422 |
417 |
$992.54 |
| 90686 |
|
697 |
689 |
$977.60 |
| 90688 |
|
45 |
45 |
$780.99 |
| 3008F |
|
79 |
79 |
$760.00 |
| 99173 |
|
757 |
752 |
$750.95 |
| 0071A |
|
18 |
18 |
$720.00 |
| 36416 |
|
89 |
81 |
$491.00 |
| 90707 |
|
15 |
15 |
$436.55 |
| 90715 |
|
32 |
31 |
$407.70 |
| 90700 |
|
13 |
13 |
$70.96 |
| 90633 |
|
13 |
13 |
$36.92 |
| 90744 |
|
12 |
12 |
$26.36 |
| 91307 |
|
37 |
31 |
$8.00 |
| 99070 |
|
23 |
23 |
$0.00 |
| 99072 |
|
825 |
784 |
$0.00 |