| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,699 |
6,668 |
$653K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,148 |
1,986 |
$247K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,650 |
1,591 |
$185K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,345 |
3,225 |
$132K |
| 90461 |
|
2,165 |
2,097 |
$110K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,910 |
3,756 |
$85K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
698 |
613 |
$83K |
| 99177 |
|
4,432 |
4,073 |
$59K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
492 |
362 |
$52K |
| 92551 |
|
1,517 |
1,328 |
$39K |
| 96127 |
|
809 |
633 |
$14K |
| 96161 |
|
537 |
465 |
$10K |
| 99381 |
|
27 |
27 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
27 |
27 |
$3K |
| 99382 |
|
20 |
20 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
27 |
14 |
$413.75 |
| 90677 |
|
193 |
193 |
$0.00 |
| 90647 |
|
323 |
315 |
$0.00 |
| 90698 |
|
111 |
110 |
$0.00 |
| 99050 |
|
46 |
30 |
$0.00 |
| 90723 |
|
28 |
26 |
$0.00 |
| 90744 |
|
14 |
14 |
$0.00 |
| 90710 |
|
52 |
52 |
$0.00 |
| 90670 |
|
1,045 |
993 |
$0.00 |
| 90633 |
|
186 |
183 |
$0.00 |
| 90700 |
|
27 |
27 |
$0.00 |
| 90713 |
|
13 |
13 |
$0.00 |
| 90681 |
|
13 |
13 |
$0.00 |