| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,047 |
1,852 |
$96K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
683 |
631 |
$50K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
579 |
530 |
$46K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
581 |
513 |
$40K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,365 |
1,200 |
$33K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
118 |
112 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
452 |
403 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
177 |
162 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
19 |
15 |
$1K |
| 96127 |
|
54 |
34 |
$266.41 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
20 |
12 |
$188.81 |
| 83655 |
|
13 |
12 |
$162.92 |
| 90686 |
|
324 |
313 |
$44.50 |
| 90670 |
|
356 |
341 |
$0.00 |
| 90685 |
|
101 |
96 |
$0.00 |
| 90461 |
|
24 |
23 |
$0.00 |
| 90633 |
|
40 |
39 |
$0.00 |
| 90681 |
|
13 |
12 |
$0.00 |
| 90700 |
|
13 |
13 |
$0.00 |
| 90647 |
|
129 |
122 |
$0.00 |
| 90723 |
|
137 |
124 |
$0.00 |
| 90716 |
|
13 |
12 |
$0.00 |