| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
548 |
511 |
$38K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
285 |
276 |
$29K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
201 |
201 |
$21K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
151 |
151 |
$16K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
80 |
80 |
$8K |
| 97802 |
|
300 |
300 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
61 |
61 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
414 |
414 |
$5K |
| 90461 |
|
241 |
241 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
232 |
228 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
188 |
109 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
241 |
241 |
$2K |
| 87807 |
|
33 |
33 |
$311.70 |
| 90647 |
|
32 |
32 |
$0.00 |
| 90686 |
|
197 |
197 |
$0.00 |
| 90723 |
|
34 |
34 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| 90734 |
|
26 |
26 |
$0.00 |
| 90710 |
|
39 |
39 |
$0.00 |
| 90670 |
|
85 |
85 |
$0.00 |
| 90633 |
|
30 |
30 |
$0.00 |