| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,808 |
6,346 |
$334K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
508 |
472 |
$49K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,370 |
4,363 |
$46K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,107 |
2,096 |
$43K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
300 |
289 |
$24K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
146 |
146 |
$14K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
460 |
449 |
$14K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
154 |
154 |
$14K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
271 |
271 |
$6K |
| 90461 |
|
348 |
348 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
38 |
38 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
40 |
40 |
$4K |
| 81003 |
|
375 |
367 |
$719.38 |
| 90686 |
|
1,347 |
1,346 |
$498.64 |
| 81001 |
|
142 |
138 |
$426.74 |
| 96127 |
|
28 |
28 |
$299.04 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
24 |
24 |
$294.04 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12 |
12 |
$129.91 |
| 94760 |
|
183 |
170 |
$15.75 |
| 90656 |
|
69 |
66 |
$1.00 |
| 3725F |
|
13 |
13 |
$0.00 |
| 90670 |
|
27 |
27 |
$0.00 |
| 90680 |
|
13 |
13 |
$0.00 |