| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,426 |
3,015 |
$162K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,622 |
1,352 |
$108K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,419 |
1,232 |
$108K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
973 |
895 |
$73K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
335 |
316 |
$25K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
146 |
127 |
$12K |
| 90670 |
|
764 |
682 |
$9K |
| 90723 |
|
597 |
510 |
$7K |
| 90686 |
|
695 |
632 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
298 |
263 |
$7K |
| 90647 |
|
403 |
361 |
$4K |
| 90633 |
|
387 |
340 |
$4K |
| 90677 |
|
213 |
191 |
$4K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
32 |
32 |
$2K |
| 90651 |
|
43 |
43 |
$1K |
| 96127 |
|
86 |
65 |
$1K |
| 90710 |
|
26 |
26 |
$988.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
14 |
13 |
$595.40 |
| 90696 |
|
26 |
26 |
$371.63 |
| 83655 |
|
23 |
12 |
$272.78 |
| 90656 |
|
13 |
13 |
$208.02 |
| 90681 |
|
12 |
12 |
$200.52 |
| 36416 |
|
42 |
24 |
$155.80 |
| 90715 |
|
12 |
12 |
$140.90 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
14 |
12 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$0.00 |