| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,844 |
3,526 |
$133K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,174 |
1,153 |
$110K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,040 |
1,912 |
$107K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,037 |
975 |
$90K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
584 |
573 |
$50K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
220 |
211 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
89 |
81 |
$8K |
| 90723 |
|
350 |
346 |
$3K |
| 99460 |
|
32 |
30 |
$3K |
| 90670 |
|
228 |
227 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
266 |
259 |
$2K |
| 83655 |
|
167 |
167 |
$2K |
| 90633 |
|
116 |
116 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
172 |
163 |
$999.22 |
| 90686 |
|
90 |
90 |
$759.00 |
| 90648 |
|
64 |
64 |
$721.90 |
| 99462 |
|
28 |
19 |
$541.06 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
28 |
28 |
$340.08 |
| 99173 |
|
51 |
51 |
$316.80 |
| 90651 |
|
24 |
24 |
$276.14 |
| G0008 |
Administration of influenza virus vaccine |
21 |
21 |
$231.00 |
| 99188 |
|
12 |
12 |
$217.80 |
| 90710 |
|
15 |
15 |
$177.14 |
| 90696 |
|
14 |
14 |
$166.14 |
| 90700 |
|
13 |
13 |
$143.00 |
| 90716 |
|
13 |
13 |
$143.00 |
| 92552 |
|
13 |
13 |
$114.40 |
| 96127 |
|
13 |
13 |
$57.20 |
| 90661 |
|
22 |
22 |
$0.00 |