| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,004 |
1,713 |
$104K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
662 |
606 |
$50K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
585 |
534 |
$24K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
178 |
145 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
94 |
89 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
91 |
82 |
$7K |
| 92552 |
|
309 |
273 |
$2K |
| 96127 |
|
351 |
287 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
72 |
61 |
$963.46 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$886.51 |
| 96160 |
|
244 |
223 |
$578.66 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
15 |
15 |
$393.90 |
| 99000 |
|
36 |
34 |
$216.56 |
| 99173 |
|
225 |
199 |
$158.56 |
| 94760 |
|
650 |
517 |
$109.36 |
| 90686 |
|
104 |
97 |
$43.97 |