| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,981 |
3,326 |
$234K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
599 |
597 |
$43K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,727 |
1,685 |
$32K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
413 |
410 |
$25K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
288 |
286 |
$22K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
277 |
263 |
$21K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,021 |
1,019 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
484 |
456 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
16 |
16 |
$1K |
| 99051 |
|
125 |
115 |
$650.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
26 |
23 |
$603.24 |
| 96127 |
|
54 |
53 |
$153.13 |
| 36416 |
|
24 |
24 |
$69.12 |
| 99406 |
|
17 |
17 |
$32.48 |
| 90686 |
|
239 |
239 |
$0.00 |
| 90698 |
|
40 |
40 |
$0.00 |
| 90744 |
|
25 |
25 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| 90461 |
|
689 |
682 |
$0.00 |
| 4124F |
|
742 |
699 |
$0.00 |
| 99173 |
|
247 |
246 |
$0.00 |
| 90670 |
|
184 |
184 |
$0.00 |
| 90685 |
|
41 |
41 |
$0.00 |