| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,312 |
5,305 |
$353K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,178 |
1,064 |
$91K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,034 |
1,009 |
$85K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
801 |
776 |
$65K |
| 90461 |
|
1,449 |
1,369 |
$54K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
531 |
518 |
$47K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,223 |
3,008 |
$43K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
549 |
520 |
$42K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
415 |
402 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
236 |
231 |
$3K |
| D1206 |
Topical application of fluoride varnish |
161 |
160 |
$3K |
| 96127 |
|
529 |
527 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
88 |
45 |
$1K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
20 |
16 |
$945.00 |
| 99050 |
|
14 |
14 |
$568.54 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$435.88 |
| 90686 |
|
1,226 |
620 |
$50.59 |
| 90647 |
|
25 |
12 |
$0.25 |
| 90670 |
|
25 |
12 |
$0.25 |