| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,618 |
5,096 |
$338K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,535 |
2,385 |
$211K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,242 |
2,173 |
$158K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,903 |
1,900 |
$154K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,915 |
2,911 |
$77K |
| 99215 |
Prolong outpt/office vis |
454 |
450 |
$63K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
584 |
583 |
$45K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
611 |
585 |
$25K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
757 |
755 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
295 |
288 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
223 |
221 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
158 |
100 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$796.63 |
| 92552 |
|
30 |
30 |
$585.52 |
| 96127 |
|
106 |
103 |
$364.18 |
| 96161 |
|
160 |
159 |
$299.86 |
| 81003 |
|
153 |
147 |
$219.08 |
| 99401 |
|
13 |
13 |
$180.64 |
| 36416 |
|
16 |
16 |
$120.52 |
| 99000 |
|
26 |
25 |
$90.00 |
| 85018 |
|
42 |
42 |
$55.20 |
| 90698 |
|
754 |
753 |
$0.00 |
| 90744 |
|
270 |
270 |
$0.00 |
| 90677 |
|
186 |
186 |
$0.00 |
| 90686 |
|
450 |
450 |
$0.00 |
| 90680 |
|
808 |
808 |
$0.00 |
| 90674 |
|
42 |
42 |
$0.00 |
| 90647 |
|
27 |
27 |
$0.00 |
| 90723 |
|
13 |
13 |
$0.00 |
| 90697 |
|
49 |
49 |
$0.00 |
| 99173 |
|
196 |
196 |
$0.00 |
| 90670 |
|
1,270 |
1,268 |
$0.00 |
| 90633 |
|
200 |
198 |
$0.00 |
| 90672 |
|
28 |
28 |
$0.00 |
| 90661 |
|
70 |
70 |
$0.00 |
| 90685 |
|
30 |
30 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |