| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,067 |
5,396 |
$218K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,232 |
1,107 |
$85K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
947 |
874 |
$72K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,688 |
2,456 |
$44K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
603 |
476 |
$38K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
473 |
412 |
$36K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
435 |
422 |
$23K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,152 |
1,090 |
$15K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,228 |
789 |
$9K |
| 92551 |
|
776 |
718 |
$7K |
| 90461 |
|
1,382 |
1,112 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
286 |
280 |
$4K |
| 90670 |
|
453 |
430 |
$1K |
| 90619 |
|
16 |
12 |
$1K |
| 90698 |
|
420 |
399 |
$910.00 |
| 90633 |
|
200 |
171 |
$280.00 |
| 90680 |
|
209 |
199 |
$225.75 |
| 90686 |
|
573 |
554 |
$175.06 |
| 90734 |
|
15 |
13 |
$144.48 |
| 96160 |
|
106 |
77 |
$129.03 |
| 99173 |
|
1,450 |
1,315 |
$31.50 |
| 90707 |
|
13 |
12 |
$0.00 |
| 90651 |
|
20 |
19 |
$0.00 |
| 90656 |
|
26 |
26 |
$0.00 |
| 90744 |
|
46 |
42 |
$0.00 |
| 90716 |
|
14 |
13 |
$0.00 |