| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,554 |
1,359 |
$95K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,728 |
1,562 |
$68K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
358 |
316 |
$34K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
228 |
200 |
$18K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
210 |
191 |
$16K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
996 |
903 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
49 |
43 |
$4K |
| 96127 |
|
233 |
207 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
30 |
27 |
$3K |
| 90473 |
|
169 |
153 |
$3K |
| 81002 |
|
285 |
263 |
$842.59 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
80 |
65 |
$823.44 |
| 90461 |
|
613 |
545 |
$593.50 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
51 |
47 |
$567.69 |
| 90670 |
|
76 |
71 |
$543.14 |
| 90671 |
|
50 |
43 |
$518.30 |
| 99173 |
|
48 |
46 |
$492.96 |
| 90686 |
|
231 |
199 |
$475.85 |
| 90716 |
|
20 |
15 |
$383.68 |
| 94760 |
|
157 |
133 |
$326.94 |
| 90707 |
|
20 |
15 |
$214.78 |
| 90672 |
|
229 |
207 |
$199.07 |
| 90698 |
|
66 |
63 |
$126.66 |
| 90680 |
|
41 |
39 |
$111.68 |
| 90688 |
|
18 |
18 |
$0.00 |