| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,702 |
1,451 |
$88K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
388 |
287 |
$23K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
332 |
275 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
202 |
179 |
$16K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
228 |
198 |
$13K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
633 |
580 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
359 |
318 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
213 |
204 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
96 |
81 |
$5K |
| 90677 |
|
228 |
200 |
$4K |
| 90697 |
|
167 |
144 |
$3K |
| 90686 |
|
163 |
152 |
$3K |
| 87428 |
|
40 |
39 |
$3K |
| 90680 |
|
136 |
108 |
$2K |
| 96127 |
|
130 |
107 |
$2K |
| 90633 |
|
97 |
73 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
52 |
51 |
$2K |
| 90619 |
|
73 |
62 |
$1K |
| 85018 |
|
473 |
406 |
$1K |
| 90716 |
|
45 |
31 |
$751.95 |
| 90715 |
|
33 |
29 |
$551.43 |
| 90710 |
|
33 |
29 |
$551.43 |
| 90700 |
|
31 |
28 |
$518.01 |
| 90707 |
|
29 |
19 |
$484.59 |
| 90651 |
|
26 |
20 |
$451.04 |
| 90696 |
|
25 |
20 |
$417.75 |
| 81002 |
|
18 |
18 |
$46.80 |
| 90461 |
|
94 |
85 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
191 |
176 |
$0.00 |