| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,812 |
6,767 |
$285K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
762 |
753 |
$64K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
613 |
598 |
$48K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,807 |
1,325 |
$39K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
673 |
638 |
$34K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
305 |
292 |
$24K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
209 |
202 |
$19K |
| 90461 |
|
594 |
481 |
$5K |
| 92551 |
|
1,235 |
1,194 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
249 |
115 |
$2K |
| 92567 |
|
130 |
105 |
$2K |
| 94760 |
|
2,167 |
2,049 |
$800.85 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
37 |
37 |
$548.70 |
| 90686 |
|
91 |
91 |
$0.09 |
| 90698 |
|
27 |
27 |
$0.00 |
| 90744 |
|
41 |
41 |
$0.00 |
| 90680 |
|
114 |
114 |
$0.00 |
| 99173 |
|
1,168 |
1,124 |
$0.00 |
| 90633 |
|
53 |
49 |
$0.00 |
| 90670 |
|
364 |
355 |
$0.00 |
| 90648 |
|
56 |
55 |
$0.00 |
| 90700 |
|
42 |
40 |
$0.00 |