| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,887 |
1,632 |
$60K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
317 |
314 |
$19K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
270 |
261 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
178 |
164 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
50 |
46 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
920 |
894 |
$3K |
| 85018 |
|
309 |
299 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
85 |
77 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
461 |
452 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
84 |
83 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
56 |
51 |
$1K |
| 87807 |
|
14 |
14 |
$328.54 |
| 90670 |
|
134 |
115 |
$108.83 |
| 90633 |
|
84 |
77 |
$65.70 |
| 90474 |
|
15 |
15 |
$46.20 |
| 90686 |
|
129 |
125 |
$19.41 |
| 90680 |
|
15 |
15 |
$0.00 |
| 90698 |
|
36 |
29 |
$0.00 |
| 90744 |
|
13 |
13 |
$0.00 |