| 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 |
2,369 |
$114K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,694 |
1,496 |
$111K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
612 |
550 |
$24K |
| 96127 |
|
4,278 |
2,890 |
$23K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
393 |
362 |
$16K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
186 |
162 |
$13K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
265 |
260 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
51 |
50 |
$4K |
| 92551 |
|
331 |
306 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
326 |
299 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
39 |
36 |
$3K |
| 99215 |
Prolong outpt/office vis |
28 |
27 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
260 |
124 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
26 |
26 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
90 |
78 |
$1K |
| 96160 |
|
35 |
32 |
$832.92 |
| 99177 |
|
420 |
363 |
$828.48 |
| 92588 |
|
13 |
13 |
$769.92 |
| 92558 |
|
99 |
87 |
$459.12 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
14 |
$434.41 |
| 96161 |
|
12 |
12 |
$302.88 |
| 90686 |
|
343 |
297 |
$109.60 |
| 85018 |
|
13 |
13 |
$24.18 |
| 90633 |
|
12 |
12 |
$0.00 |
| 90670 |
|
14 |
14 |
$0.00 |
| 36416 |
|
19 |
19 |
$0.00 |
| 3008F |
|
291 |
251 |
$0.00 |
| 90651 |
|
26 |
24 |
$0.00 |
| 90698 |
|
12 |
12 |
$0.00 |
| 97802 |
|
23 |
22 |
$0.00 |