I got it working using the following code
$url = 'https://api.twitter.com/1.1/users/show.json';
$getfield = '?screen_name=symphaticidiot';
$requestMethod = 'GET';
$twitter = new TwitterAPIExchange($settings);
$response = $twitter->setGetfield($getfield)
->buildOauth($url, $requestMethod)
->performRequest();
$json_output = json_decode($response);
$followers = $json_output->followers_count