| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,980 |
2,498 |
$171K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
882 |
808 |
$75K |
| 99401 |
|
1,099 |
1,096 |
$28K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,004 |
968 |
$22K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
297 |
296 |
$21K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
224 |
224 |
$16K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
177 |
176 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
146 |
146 |
$13K |
| 99188 |
|
533 |
524 |
$10K |
| 92587 |
|
532 |
525 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
448 |
435 |
$5K |
| 90461 |
|
226 |
222 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
488 |
486 |
$3K |
| 96127 |
|
438 |
438 |
$2K |
| 90651 |
|
24 |
24 |
$1K |
| 36416 |
|
195 |
179 |
$1K |
| 90686 |
|
172 |
172 |
$1K |
| 99381 |
|
12 |
12 |
$1K |
| 90670 |
|
32 |
32 |
$704.24 |
| 96160 |
|
118 |
118 |
$348.98 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
26 |
13 |
$242.74 |
| 90698 |
|
13 |
13 |
$188.72 |