| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,719 |
3,292 |
$154K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,135 |
1,033 |
$72K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,447 |
2,145 |
$66K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
644 |
575 |
$36K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
632 |
569 |
$30K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
169 |
163 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
400 |
327 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
44 |
41 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
35 |
30 |
$453.84 |
| 90672 |
|
28 |
27 |
$204.27 |
| 96127 |
|
29 |
27 |
$117.07 |
| 90686 |
|
142 |
141 |
$115.13 |
| 90670 |
|
124 |
108 |
$80.00 |
| 90658 |
|
55 |
55 |
$65.73 |
| 90656 |
|
45 |
42 |
$25.75 |
| 90657 |
|
99 |
99 |
$20.00 |
| 90655 |
|
18 |
15 |
$20.00 |
| 90700 |
|
12 |
12 |
$0.10 |
| 90671 |
|
13 |
12 |
$0.03 |
| 90698 |
|
14 |
14 |
$0.00 |
| 90707 |
|
14 |
13 |
$0.00 |