| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
856 |
800 |
$27K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
412 |
402 |
$22K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
188 |
182 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
187 |
187 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
108 |
105 |
$3K |
| 90686 |
|
232 |
179 |
$726.37 |
| 90698 |
|
80 |
64 |
$704.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$655.50 |
| 90670 |
|
122 |
102 |
$506.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13 |
13 |
$375.30 |
| G0008 |
Administration of influenza virus vaccine |
28 |
28 |
$308.00 |
| 90680 |
|
60 |
49 |
$275.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
12 |
12 |
$156.06 |
| 96161 |
|
39 |
39 |
$134.05 |
| 85018 |
|
71 |
68 |
$128.78 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
16 |
15 |
$121.45 |
| 99173 |
|
145 |
142 |
$61.20 |
| 92551 |
|
72 |
71 |
$42.01 |
| 96127 |
|
12 |
12 |
$16.50 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
24 |
24 |
$15.38 |
| 96160 |
|
14 |
14 |
$14.37 |
| 90697 |
|
24 |
24 |
$0.00 |
| 90671 |
|
26 |
26 |
$0.00 |