| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,821 |
3,784 |
$215K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
785 |
716 |
$54K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,343 |
2,200 |
$44K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
375 |
373 |
$27K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
191 |
191 |
$14K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
208 |
199 |
$14K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
607 |
603 |
$8K |
| 90461 |
|
352 |
339 |
$4K |
| 99177 |
|
831 |
815 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
42 |
42 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
477 |
221 |
$3K |
| 99188 |
|
128 |
127 |
$2K |
| 92587 |
|
168 |
161 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
56 |
50 |
$2K |
| 90686 |
|
210 |
201 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
97 |
89 |
$563.77 |
| 90670 |
|
26 |
26 |
$506.70 |
| 90700 |
|
76 |
74 |
$242.85 |
| 90707 |
|
12 |
12 |
$233.35 |
| 97802 |
|
569 |
561 |
$108.05 |
| 90633 |
|
14 |
13 |
$48.08 |
| 90648 |
|
25 |
25 |
$27.45 |