| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,483 |
1,378 |
$54K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
858 |
813 |
$45K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,409 |
584 |
$15K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
327 |
323 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
536 |
461 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
167 |
112 |
$2K |
| 90461 |
|
361 |
288 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$906.62 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
60 |
60 |
$602.47 |
| 83655 |
|
28 |
28 |
$284.76 |
| 96160 |
|
191 |
186 |
$249.75 |
| 90677 |
|
13 |
13 |
$0.02 |
| 90670 |
|
68 |
68 |
$0.00 |
| 90734 |
|
13 |
13 |
$0.00 |
| 90686 |
|
294 |
294 |
$0.00 |
| 90651 |
|
13 |
13 |
$0.00 |
| 90697 |
|
13 |
13 |
$0.00 |