| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,688 |
2,234 |
$108K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
484 |
464 |
$27K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,588 |
1,511 |
$27K |
| 92587 |
|
1,234 |
1,179 |
$25K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,253 |
1,207 |
$21K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
156 |
152 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
92 |
92 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
57 |
50 |
$3K |
| 90461 |
|
204 |
198 |
$2K |
| 90686 |
|
154 |
150 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
182 |
175 |
$2K |
| 96127 |
|
383 |
364 |
$925.42 |
| 99174 |
|
211 |
208 |
$840.40 |
| 99173 |
|
100 |
100 |
$801.51 |
| 99188 |
|
51 |
51 |
$779.00 |
| 81000 |
|
453 |
414 |
$549.74 |
| 99177 |
|
67 |
63 |
$508.40 |
| 96160 |
|
144 |
131 |
$227.59 |
| 92567 |
|
12 |
12 |
$88.71 |