| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,609 |
3,160 |
$178K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,373 |
3,296 |
$161K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,052 |
1,851 |
$153K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,346 |
1,331 |
$108K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,228 |
1,113 |
$37K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
526 |
479 |
$37K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
262 |
248 |
$20K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
300 |
292 |
$7K |
| 86580 |
|
540 |
520 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
344 |
157 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
824 |
738 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
206 |
123 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
13 |
$1K |
| 99177 |
|
41 |
40 |
$937.44 |
| 99000 |
|
84 |
59 |
$71.33 |
| 87070 |
|
149 |
71 |
$39.74 |
| 90648 |
|
1,096 |
1,031 |
$0.00 |
| 90670 |
|
1,172 |
1,108 |
$0.00 |
| 90700 |
|
1,347 |
1,256 |
$0.00 |
| 90713 |
|
982 |
919 |
$0.00 |
| 90707 |
|
142 |
134 |
$0.00 |
| 90633 |
|
86 |
85 |
$0.00 |
| 90685 |
|
64 |
62 |
$0.00 |
| 90686 |
|
493 |
473 |
$0.00 |
| 90680 |
|
640 |
606 |
$0.00 |
| 90716 |
|
138 |
130 |
$0.00 |
| 90744 |
|
246 |
225 |
$0.00 |