| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,066 |
5,318 |
$561K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,917 |
3,832 |
$144K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
830 |
828 |
$91K |
| 92552 |
|
2,259 |
2,254 |
$84K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
458 |
458 |
$55K |
| 99401 |
|
2,966 |
2,937 |
$54K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
364 |
360 |
$40K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
266 |
266 |
$12K |
| 90461 |
|
338 |
333 |
$10K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,413 |
1,387 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
58 |
58 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
2,630 |
2,618 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
149 |
93 |
$3K |
| 87110 |
|
140 |
139 |
$2K |
| 83655 |
|
194 |
193 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
12 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$1K |
| 99441 |
|
33 |
31 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
71 |
70 |
$1K |
| 90686 |
|
1,458 |
1,454 |
$736.27 |
| 99173 |
|
1,627 |
1,625 |
$646.22 |
| 99000 |
|
1,879 |
1,855 |
$224.29 |
| 90716 |
|
42 |
42 |
$182.25 |
| 90685 |
|
59 |
55 |
$84.30 |
| 90707 |
|
26 |
26 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 90651 |
|
38 |
38 |
$0.00 |