| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,906 |
6,035 |
$257K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,207 |
1,194 |
$93K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,097 |
1,080 |
$89K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,040 |
3,473 |
$75K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
809 |
789 |
$68K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
753 |
724 |
$57K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,512 |
1,170 |
$12K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,132 |
1,121 |
$7K |
| 90461 |
|
1,248 |
1,049 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
443 |
212 |
$6K |
| 99000 |
|
104 |
100 |
$1K |
| 86580 |
|
134 |
134 |
$964.97 |
| 96161 |
|
655 |
633 |
$939.46 |
| 87807 |
|
72 |
70 |
$759.00 |
| 90688 |
|
1,733 |
1,713 |
$336.43 |
| 90677 |
|
175 |
172 |
$18.00 |
| 90672 |
|
127 |
127 |
$8.66 |
| 90680 |
|
243 |
235 |
$0.00 |
| 90697 |
|
107 |
105 |
$0.00 |
| 90698 |
|
234 |
225 |
$0.00 |
| 90716 |
|
14 |
14 |
$0.00 |
| 90619 |
|
23 |
23 |
$0.00 |
| 90744 |
|
40 |
39 |
$0.00 |
| 90651 |
|
119 |
111 |
$0.00 |
| 90696 |
|
14 |
14 |
$0.00 |
| 90620 |
|
13 |
13 |
$0.00 |
| 90670 |
|
553 |
542 |
$0.00 |
| 90633 |
|
124 |
124 |
$0.00 |
| 90715 |
|
30 |
27 |
$0.00 |
| 90700 |
|
14 |
14 |
$0.00 |
| 90707 |
|
26 |
26 |
$0.00 |
| 90734 |
|
54 |
43 |
$0.00 |