| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,110 |
5,567 |
$229K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,088 |
2,074 |
$175K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,872 |
1,820 |
$151K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,123 |
2,043 |
$113K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
10,075 |
3,520 |
$106K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
837 |
831 |
$76K |
| 99429 |
|
1,929 |
1,917 |
$68K |
| S8301 |
Infection control supplies, not otherwise specified |
6,623 |
5,932 |
$61K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,261 |
2,179 |
$32K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
323 |
318 |
$31K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,528 |
747 |
$21K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,370 |
2,349 |
$20K |
| 90461 |
|
2,789 |
2,408 |
$18K |
| 99381 |
|
84 |
84 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
336 |
330 |
$4K |
| 87807 |
|
214 |
200 |
$2K |
| 96380 |
|
37 |
37 |
$740.69 |
| 90686 |
|
326 |
320 |
$38.52 |
| 90672 |
|
41 |
41 |
$24.05 |
| 90707 |
|
603 |
597 |
$0.00 |
| 90700 |
|
93 |
92 |
$0.00 |
| 90670 |
|
1,318 |
1,305 |
$0.00 |
| 90648 |
|
1,619 |
1,604 |
$0.00 |
| 90633 |
|
725 |
717 |
$0.00 |
| 90680 |
|
1,044 |
1,032 |
$0.00 |
| 90677 |
|
312 |
311 |
$0.00 |
| 90716 |
|
604 |
596 |
$0.00 |
| 90723 |
|
1,203 |
1,194 |
$0.00 |
| 90651 |
|
40 |
36 |
$0.00 |
| 90696 |
|
38 |
38 |
$0.00 |
| 90656 |
|
38 |
38 |
$0.00 |
| 90660 |
|
13 |
13 |
$0.00 |
| 90381 |
|
17 |
17 |
$0.00 |