| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,340 |
1,163 |
$45K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
375 |
356 |
$33K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
353 |
304 |
$29K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
86 |
78 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
14 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
12 |
$700.93 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
919 |
868 |
$308.54 |
| 81002 |
|
231 |
212 |
$78.52 |
| 92587 |
|
132 |
128 |
$60.35 |
| 83655 |
|
49 |
43 |
$8.50 |
| 85018 |
|
128 |
121 |
$1.62 |
| 99000 |
|
13 |
12 |
$0.00 |
| 36416 |
|
20 |
17 |
$0.00 |
| 1036F |
|
18 |
15 |
$0.00 |
| 90698 |
|
13 |
12 |
$0.00 |
| 3008F |
|
26 |
24 |
$0.00 |
| 96161 |
|
13 |
12 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$0.00 |
| 90656 |
|
20 |
20 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
40 |
38 |
$0.00 |
| 99173 |
|
232 |
218 |
$0.00 |
| 90633 |
|
14 |
13 |
$0.00 |
| 1160F |
|
51 |
43 |
$0.00 |
| 90648 |
|
12 |
12 |
$0.00 |
| 90670 |
|
183 |
172 |
$0.00 |
| 1159F |
|
51 |
43 |
$0.00 |
| 90655 |
|
13 |
12 |
$0.00 |