| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,097 |
875 |
$51K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
905 |
726 |
$50K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
995 |
901 |
$35K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
373 |
325 |
$23K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
186 |
152 |
$11K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
810 |
699 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
73 |
62 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
277 |
244 |
$4K |
| 92551 |
|
463 |
378 |
$4K |
| 96127 |
|
678 |
562 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
28 |
24 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
158 |
145 |
$953.07 |
| 99177 |
|
1,044 |
903 |
$879.24 |
| 90686 |
|
406 |
389 |
$798.10 |
| 87807 |
|
14 |
13 |
$117.22 |
| 96160 |
|
20 |
15 |
$23.10 |
| 90707 |
|
35 |
27 |
$0.00 |
| 90670 |
|
28 |
27 |
$0.00 |
| 90633 |
|
24 |
14 |
$0.00 |
| 90649 |
|
21 |
13 |
$0.00 |