| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,528 |
2,264 |
$140K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
923 |
865 |
$75K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
419 |
419 |
$37K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
384 |
383 |
$31K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
385 |
383 |
$31K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,600 |
1,573 |
$25K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
276 |
259 |
$21K |
| 90461 |
|
499 |
492 |
$14K |
| 94010 |
|
203 |
200 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
309 |
308 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
347 |
342 |
$4K |
| 97802 |
|
74 |
74 |
$1K |
| 96127 |
|
418 |
418 |
$1K |
| 99188 |
|
83 |
82 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$1K |
| 99051 |
|
40 |
40 |
$1K |
| 90473 |
|
25 |
25 |
$281.00 |