| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,160 |
1,902 |
$88K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,410 |
899 |
$39K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,654 |
1,368 |
$29K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
332 |
260 |
$23K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
291 |
228 |
$20K |
| 92587 |
|
1,114 |
901 |
$17K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
122 |
97 |
$9K |
| 85018 |
|
1,560 |
1,268 |
$3K |
| 99173 |
|
1,118 |
905 |
$3K |
| 96127 |
|
717 |
602 |
$3K |
| 36416 |
|
1,574 |
1,281 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
136 |
122 |
$2K |
| 90670 |
|
32 |
24 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
25 |
25 |
$2K |
| 90651 |
|
74 |
65 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
113 |
103 |
$1K |
| 87430 |
|
58 |
53 |
$605.61 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
21 |
14 |
$381.32 |
| 90686 |
|
269 |
245 |
$278.55 |
| 90734 |
|
29 |
27 |
$162.00 |
| 90648 |
|
33 |
25 |
$149.83 |
| 3008F |
|
19 |
18 |
$30.00 |
| 90461 |
|
513 |
366 |
$0.00 |
| 90633 |
|
14 |
13 |
$0.00 |
| 90707 |
|
18 |
12 |
$0.00 |
| 99000 |
|
12 |
12 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |