| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,783 |
1,374 |
$65K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
808 |
677 |
$31K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
272 |
215 |
$15K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
203 |
182 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
189 |
112 |
$8K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
55 |
40 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
309 |
239 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
55 |
51 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
30 |
20 |
$2K |
| 36416 |
|
719 |
569 |
$2K |
| 85018 |
|
474 |
376 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
70 |
34 |
$1K |
| 81003 |
|
279 |
207 |
$714.55 |
| 99173 |
|
73 |
53 |
$698.82 |
| 99174 |
|
59 |
56 |
$677.82 |
| 90686 |
|
185 |
159 |
$572.84 |
| 90670 |
|
145 |
124 |
$464.82 |
| 90698 |
|
109 |
96 |
$357.57 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
32 |
31 |
$101.95 |
| 94760 |
|
19 |
12 |
$0.00 |
| 99072 |
|
108 |
105 |
$0.00 |