| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,772 |
5,063 |
$228K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,084 |
1,940 |
$128K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,591 |
1,510 |
$105K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,469 |
1,276 |
$89K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,453 |
1,402 |
$82K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
668 |
637 |
$55K |
| 92551 |
|
3,655 |
3,325 |
$25K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,066 |
2,772 |
$25K |
| 90686 |
|
1,492 |
1,439 |
$21K |
| 90670 |
|
754 |
721 |
$10K |
| 90698 |
|
710 |
676 |
$10K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
734 |
635 |
$7K |
| 99173 |
|
2,376 |
2,187 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
73 |
67 |
$2K |
| 96127 |
|
497 |
467 |
$2K |
| 90680 |
|
94 |
92 |
$876.73 |
| 90734 |
|
39 |
38 |
$794.52 |
| 90656 |
|
31 |
31 |
$684.17 |
| 99442 |
|
15 |
14 |
$496.14 |
| 99441 |
|
21 |
19 |
$456.10 |
| 90651 |
|
24 |
24 |
$441.40 |
| 90707 |
|
76 |
75 |
$353.12 |
| 90744 |
|
31 |
29 |
$339.05 |
| 90716 |
|
80 |
78 |
$331.05 |
| 90633 |
|
43 |
40 |
$264.84 |
| 92567 |
|
13 |
12 |
$183.35 |
| 90685 |
|
65 |
63 |
$44.14 |
| 81002 |
|
26 |
24 |
$26.85 |
| 2010F |
|
4,810 |
4,380 |
$0.00 |
| 3008F |
|
4,029 |
3,680 |
$0.00 |
| 3074F |
|
1,010 |
928 |
$0.00 |
| 87081 |
|
70 |
57 |
$0.00 |
| 99050 |
|
28 |
28 |
$0.00 |
| 99000 |
|
22 |
21 |
$0.00 |
| 90461 |
|
1,947 |
1,853 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,156 |
4,834 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
116 |
96 |
$0.00 |
| 3725F |
|
20 |
16 |
$0.00 |
| 83655 |
|
13 |
13 |
$0.00 |