| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,384 |
2,095 |
$136K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
905 |
799 |
$76K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
453 |
444 |
$34K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
421 |
351 |
$27K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
208 |
206 |
$16K |
| 90686 |
|
778 |
760 |
$9K |
| 92551 |
|
869 |
849 |
$8K |
| 90670 |
|
195 |
191 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,445 |
2,457 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
205 |
127 |
$4K |
| 0072A |
|
59 |
51 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
26 |
14 |
$2K |
| 90648 |
|
169 |
166 |
$2K |
| 0071A |
|
46 |
45 |
$2K |
| 81002 |
|
649 |
612 |
$2K |
| 99173 |
|
687 |
671 |
$2K |
| 90461 |
|
886 |
838 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
85 |
77 |
$1K |
| 96127 |
|
235 |
228 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 99000 |
|
210 |
193 |
$634.64 |
| 90723 |
|
25 |
24 |
$580.16 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
63 |
60 |
$489.31 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
29 |
27 |
$455.55 |
| 90707 |
|
12 |
12 |
$360.93 |
| 90716 |
|
14 |
13 |
$274.47 |
| 90656 |
|
14 |
14 |
$176.70 |
| 87807 |
|
15 |
12 |
$117.90 |
| 99072 |
|
1,289 |
998 |
$110.56 |
| 91307 |
|
130 |
108 |
$0.95 |
| 99051 |
|
16 |
12 |
$0.00 |