| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
750 |
644 |
$30K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
169 |
155 |
$14K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
95 |
93 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
412 |
203 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
642 |
228 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
213 |
210 |
$3K |
| 87420 |
|
210 |
207 |
$2K |
| 99429 |
|
60 |
60 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
36 |
34 |
$2K |
| 90461 |
|
192 |
153 |
$1K |
| 99381 |
|
14 |
14 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
99 |
69 |
$883.01 |
| 83655 |
|
12 |
12 |
$122.04 |
| 90658 |
|
55 |
54 |
$0.38 |
| 90680 |
|
50 |
50 |
$0.31 |
| 90648 |
|
27 |
27 |
$0.23 |
| 90723 |
|
26 |
26 |
$0.21 |
| 90698 |
|
12 |
12 |
$0.00 |
| 90670 |
|
75 |
75 |
$0.00 |