| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,010 |
1,939 |
$134K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
877 |
877 |
$88K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,478 |
1,474 |
$85K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
692 |
691 |
$64K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
377 |
377 |
$33K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
64 |
64 |
$6K |
| 99188 |
|
104 |
104 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
137 |
136 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
14 |
$1K |
| 96161 |
|
350 |
349 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$545.76 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
388 |
388 |
$271.28 |
| 92551 |
|
463 |
463 |
$245.68 |
| 99173 |
|
546 |
546 |
$225.00 |
| 96160 |
|
146 |
146 |
$47.90 |
| 96127 |
|
94 |
94 |
$43.01 |
| 83655 |
|
98 |
98 |
$2.30 |
| 90670 |
|
206 |
191 |
$0.00 |
| 90633 |
|
38 |
28 |
$0.00 |
| 90723 |
|
148 |
148 |
$0.00 |
| 90680 |
|
101 |
101 |
$0.00 |
| 3008F |
|
1,379 |
1,344 |
$0.00 |
| 90686 |
|
95 |
85 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
31 |
31 |
$0.00 |
| 90647 |
|
110 |
110 |
$0.00 |