| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,009 |
3,482 |
$260K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,295 |
2,181 |
$100K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
919 |
833 |
$88K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
921 |
895 |
$86K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
825 |
793 |
$72K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
181 |
172 |
$17K |
| 99188 |
|
236 |
230 |
$3K |
| 99215 |
Prolong outpt/office vis |
19 |
19 |
$2K |
| 36416 |
|
324 |
316 |
$1K |
| 87400 |
|
130 |
129 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
33 |
33 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
86 |
86 |
$608.29 |
| 85018 |
|
321 |
316 |
$603.48 |
| 90686 |
|
685 |
671 |
$391.24 |
| 90648 |
|
242 |
239 |
$222.20 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$112.04 |
| 90670 |
|
690 |
677 |
$111.10 |
| 90744 |
|
124 |
118 |
$111.10 |
| 90633 |
|
197 |
195 |
$104.41 |
| 90698 |
|
277 |
267 |
$44.44 |
| 90658 |
|
146 |
142 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 90707 |
|
28 |
27 |
$0.00 |
| 90655 |
|
33 |
32 |
$0.00 |
| 90716 |
|
27 |
26 |
$0.00 |
| 90723 |
|
136 |
133 |
$0.00 |
| 90680 |
|
334 |
328 |
$0.00 |