| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,257 |
8,866 |
$369K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,381 |
1,376 |
$85K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,219 |
1,217 |
$80K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
884 |
883 |
$61K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
922 |
919 |
$58K |
| 92551 |
|
3,684 |
3,676 |
$35K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,035 |
2,534 |
$27K |
| 90680 |
|
307 |
304 |
$14K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,149 |
1,147 |
$8K |
| 90649 |
|
412 |
411 |
$7K |
| H0049 |
Alcohol and/or drug screening |
854 |
853 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
41 |
41 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
121 |
60 |
$2K |
| 99383 |
|
21 |
21 |
$2K |
| 99384 |
|
15 |
15 |
$1K |
| 17250 |
|
14 |
12 |
$879.73 |
| 90670 |
|
773 |
766 |
$729.43 |
| 90734 |
|
239 |
238 |
$400.44 |
| 90710 |
|
222 |
222 |
$292.33 |
| 90723 |
|
387 |
387 |
$277.71 |
| 90633 |
|
379 |
378 |
$275.76 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
132 |
131 |
$125.01 |
| 90698 |
|
31 |
31 |
$66.90 |
| 90744 |
|
14 |
14 |
$57.71 |
| 90648 |
|
197 |
196 |
$53.04 |
| 90700 |
|
56 |
56 |
$17.76 |
| 90686 |
|
427 |
424 |
$0.00 |
| 90697 |
|
53 |
53 |
$0.00 |
| 90716 |
|
29 |
29 |
$0.00 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
18 |
17 |
$0.00 |
| 90715 |
|
76 |
75 |
$0.00 |
| 99401 |
|
413 |
413 |
$0.00 |
| 90707 |
|
29 |
29 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
25 |
25 |
$0.00 |
| 90713 |
|
12 |
12 |
$0.00 |