| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,312 |
1,933 |
$111K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
364 |
300 |
$28K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
171 |
135 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
118 |
114 |
$9K |
| 90670 |
|
163 |
135 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
40 |
39 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
104 |
97 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
30 |
27 |
$2K |
| 90686 |
|
126 |
104 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
58 |
44 |
$912.46 |
| 90648 |
|
115 |
86 |
$833.71 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
14 |
13 |
$408.41 |
| 90698 |
|
22 |
13 |
$346.08 |
| 90723 |
|
27 |
12 |
$265.30 |
| 90633 |
|
13 |
13 |
$129.22 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
33 |
12 |
$0.00 |
| 3008F |
|
131 |
117 |
$0.00 |