| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,745 |
1,579 |
$118K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,362 |
2,284 |
$87K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
299 |
290 |
$30K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
190 |
190 |
$21K |
| 92552 |
|
1,385 |
1,344 |
$16K |
| 99173 |
|
1,428 |
1,388 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
72 |
66 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
70 |
67 |
$6K |
| 36416 |
|
828 |
813 |
$3K |
| 96127 |
|
172 |
154 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
37 |
37 |
$1K |
| 96161 |
|
13 |
12 |
$234.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$216.00 |
| 90686 |
|
1,242 |
1,208 |
$207.09 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
14 |
$160.30 |
| 90656 |
|
115 |
108 |
$67.05 |
| 94760 |
|
24 |
20 |
$33.20 |
| 85018 |
|
472 |
465 |
$22.60 |
| 90670 |
|
12 |
12 |
$0.00 |