| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,503 |
2,922 |
$205K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
925 |
839 |
$78K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
343 |
343 |
$29K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,227 |
1,189 |
$26K |
| 99401 |
|
1,407 |
1,399 |
$25K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
248 |
248 |
$20K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
216 |
215 |
$20K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
199 |
198 |
$16K |
| 92587 |
|
686 |
679 |
$11K |
| 99188 |
|
591 |
589 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
545 |
528 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
494 |
490 |
$3K |
| 90461 |
|
143 |
141 |
$2K |
| 96127 |
|
620 |
616 |
$2K |
| 36416 |
|
232 |
217 |
$1K |
| 96160 |
|
167 |
165 |
$450.72 |
| 90686 |
|
40 |
40 |
$428.63 |
| 86580 |
|
30 |
29 |
$207.90 |