| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,059 |
956 |
$59K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
208 |
200 |
$17K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
798 |
749 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
118 |
91 |
$10K |
| 90461 |
|
248 |
228 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
71 |
69 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
54 |
54 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
51 |
51 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
179 |
174 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
46 |
46 |
$644.00 |