| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,864 |
2,334 |
$151K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
437 |
396 |
$35K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
395 |
354 |
$30K |
| 92587 |
|
510 |
509 |
$29K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,436 |
1,252 |
$28K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
220 |
220 |
$17K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
156 |
131 |
$13K |
| 90461 |
|
383 |
316 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
792 |
674 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
224 |
207 |
$2K |
| 96127 |
|
536 |
484 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
82 |
22 |
$949.36 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
14 |
$886.60 |
| 3074F |
|
31 |
30 |
$0.00 |
| 1036F |
|
32 |
31 |
$0.00 |
| 3078F |
|
26 |
25 |
$0.00 |