| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,553 |
5,779 |
$464K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,061 |
1,683 |
$224K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,600 |
1,543 |
$151K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,715 |
4,424 |
$126K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,173 |
1,142 |
$111K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,270 |
1,194 |
$111K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
803 |
774 |
$84K |
| 90461 |
|
1,753 |
1,642 |
$54K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,985 |
1,879 |
$22K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
64 |
62 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
593 |
564 |
$6K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
158 |
148 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
52 |
48 |
$2K |
| 90686 |
|
1,326 |
731 |
$673.04 |
| 90670 |
|
197 |
106 |
$169.24 |
| 90647 |
|
57 |
36 |
$26.02 |
| 90633 |
|
48 |
25 |
$25.00 |
| 90656 |
|
16 |
16 |
$16.00 |
| 90710 |
|
17 |
12 |
$11.02 |