| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,253 |
2,025 |
$82K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,690 |
1,148 |
$28K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
205 |
202 |
$16K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
145 |
143 |
$12K |
| 92552 |
|
765 |
763 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
121 |
120 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
141 |
136 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
609 |
510 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
161 |
148 |
$3K |
| 90461 |
|
571 |
464 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
27 |
26 |
$2K |
| 99384 |
|
14 |
14 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
18 |
18 |
$1K |
| 0002A |
|
26 |
25 |
$930.40 |
| 0071A |
|
17 |
17 |
$593.60 |
| 99000 |
|
20 |
19 |
$226.92 |
| 0001A |
|
14 |
13 |
$213.20 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15 |
14 |
$205.52 |
| 96160 |
|
42 |
42 |
$82.07 |
| 90688 |
|
207 |
205 |
$18.33 |
| 97803 |
|
894 |
883 |
$4.79 |
| 91307 |
|
39 |
34 |
$0.20 |
| 90619 |
|
13 |
13 |
$0.08 |
| 90686 |
|
96 |
93 |
$0.01 |
| 99173 |
|
808 |
792 |
$0.00 |
| 99072 |
|
1,229 |
1,187 |
$0.00 |
| 90715 |
|
27 |
27 |
$0.00 |
| 90670 |
|
27 |
27 |
$0.00 |
| 90633 |
|
27 |
12 |
$0.00 |
| 90734 |
|
38 |
38 |
$0.00 |
| 91300 |
|
44 |
34 |
$0.00 |
| 99406 |
|
32 |
32 |
$0.00 |
| 90651 |
|
90 |
90 |
$0.00 |
| 90674 |
|
30 |
30 |
$0.00 |