| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,697 |
5,870 |
$408K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,698 |
2,430 |
$237K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,769 |
3,626 |
$137K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
823 |
818 |
$65K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
582 |
582 |
$46K |
| 92587 |
|
1,597 |
1,574 |
$31K |
| 90461 |
|
723 |
714 |
$28K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
294 |
284 |
$22K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
115 |
115 |
$10K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
741 |
727 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
103 |
99 |
$4K |
| 99401 |
|
122 |
119 |
$3K |
| 92588 |
|
433 |
426 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
292 |
159 |
$2K |
| 99173 |
|
1,741 |
1,739 |
$1K |
| 0002A |
|
20 |
19 |
$952.80 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
113 |
109 |
$856.73 |
| 0001A |
|
18 |
18 |
$850.37 |
| 90686 |
|
1,384 |
1,381 |
$756.68 |
| 99429 |
|
130 |
130 |
$592.50 |
| 99051 |
|
155 |
146 |
$322.44 |
| 83655 |
|
12 |
12 |
$76.74 |
| 90671 |
|
14 |
14 |
$14.00 |
| 91300 |
|
62 |
55 |
$11.32 |
| 91307 |
|
25 |
24 |
$9.50 |
| 90670 |
|
93 |
92 |
$2.00 |
| 90744 |
|
27 |
26 |
$2.00 |
| 91308 |
|
30 |
30 |
$1.80 |
| 90685 |
|
13 |
13 |
$0.01 |
| 90700 |
|
12 |
12 |
$0.00 |
| 90619 |
|
12 |
12 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| 36416 |
|
31 |
31 |
$0.00 |
| 90698 |
|
12 |
12 |
$0.00 |