| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,169 |
2,286 |
$141K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
657 |
574 |
$42K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
434 |
350 |
$28K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
260 |
243 |
$18K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
284 |
242 |
$17K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,648 |
1,380 |
$11K |
| 90670 |
|
283 |
223 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
158 |
146 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,602 |
1,372 |
$4K |
| 90656 |
|
335 |
296 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
31 |
31 |
$3K |
| 90648 |
|
305 |
244 |
$3K |
| 36410 |
|
308 |
258 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
267 |
139 |
$2K |
| 90655 |
|
131 |
113 |
$1K |
| 99173 |
|
585 |
514 |
$1K |
| 90633 |
|
81 |
78 |
$964.34 |
| 90461 |
|
685 |
569 |
$877.50 |
| 90723 |
|
46 |
45 |
$621.87 |
| 90734 |
|
17 |
14 |
$401.54 |
| 90686 |
|
17 |
17 |
$194.13 |
| 90707 |
|
14 |
13 |
$143.00 |
| 90716 |
|
14 |
13 |
$143.00 |
| 90681 |
|
13 |
12 |
$121.00 |
| 36415 |
Collection of venous blood by venipuncture |
15 |
12 |
$36.00 |
| 99000 |
|
1,027 |
827 |
$3.68 |