| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,608 |
1,324 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,210 |
1,023 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
395 |
325 |
$535.05 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
202 |
176 |
$411.60 |
| 92552 |
|
881 |
711 |
$362.23 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
252 |
191 |
$360.35 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
370 |
324 |
$109.73 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,002 |
874 |
$68.23 |
| 96127 |
|
525 |
404 |
$40.38 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
271 |
241 |
$32.40 |
| 99173 |
|
627 |
497 |
$24.21 |
| 90670 |
|
149 |
147 |
$22.07 |
| 90734 |
|
53 |
38 |
$22.07 |
| 90633 |
|
27 |
25 |
$22.07 |
| 90686 |
|
321 |
280 |
$22.07 |
| 90723 |
|
40 |
39 |
$22.07 |
| 90647 |
|
62 |
60 |
$22.07 |
| 90651 |
|
39 |
37 |
$22.07 |
| 90680 |
|
27 |
27 |
$22.07 |
| 81002 |
|
502 |
384 |
$17.68 |
| 94760 |
|
236 |
190 |
$2.91 |
| 99215 |
Prolong outpt/office vis |
49 |
43 |
$0.00 |
| 90685 |
|
45 |
39 |
$0.00 |
| 90461 |
|
361 |
317 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
992 |
883 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
50 |
37 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
86 |
85 |
$0.00 |
| 85018 |
|
159 |
142 |
$0.00 |
| 36416 |
|
158 |
141 |
$0.00 |