| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,105 |
1,569 |
$164K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
184 |
184 |
$17K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
188 |
171 |
$16K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
162 |
162 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
65 |
65 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
423 |
421 |
$3K |
| 99051 |
|
416 |
392 |
$2K |
| 92587 |
|
56 |
56 |
$1K |
| 87081 |
|
402 |
383 |
$1K |
| 99381 |
|
12 |
12 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
441 |
419 |
$1K |
| 83655 |
|
37 |
37 |
$291.19 |
| 96127 |
|
50 |
50 |
$218.50 |
| 90660 |
|
52 |
52 |
$173.20 |
| 96161 |
|
29 |
29 |
$70.20 |
| 85018 |
|
53 |
53 |
$69.43 |
| 90686 |
|
107 |
107 |
$23.53 |
| 90710 |
|
73 |
73 |
$0.00 |
| 99173 |
|
63 |
63 |
$0.00 |
| 90734 |
|
36 |
36 |
$0.00 |
| 90715 |
|
13 |
13 |
$0.00 |
| 90677 |
|
92 |
92 |
$0.00 |
| 90697 |
|
70 |
70 |
$0.00 |
| 90656 |
|
40 |
40 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
280 |
280 |
$0.00 |