| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,783 |
3,383 |
$257K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,325 |
1,158 |
$95K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,018 |
990 |
$83K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,448 |
3,257 |
$73K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
560 |
553 |
$49K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,395 |
2,302 |
$45K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,658 |
1,575 |
$40K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
268 |
263 |
$28K |
| 90686 |
|
848 |
804 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
76 |
67 |
$6K |
| 90670 |
|
628 |
593 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
194 |
96 |
$4K |
| 90698 |
|
641 |
608 |
$4K |
| 90474 |
|
224 |
211 |
$4K |
| 83655 |
|
82 |
80 |
$2K |
| 92551 |
|
175 |
172 |
$2K |
| 85018 |
|
94 |
92 |
$2K |
| 99173 |
|
244 |
241 |
$2K |
| 90744 |
|
68 |
67 |
$2K |
| 90685 |
|
61 |
60 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
28 |
27 |
$1K |
| 90680 |
|
237 |
225 |
$1K |
| 90633 |
|
54 |
52 |
$288.80 |
| 90651 |
|
24 |
24 |
$0.00 |
| 90696 |
|
24 |
24 |
$0.00 |
| 90734 |
|
68 |
68 |
$0.00 |
| 90715 |
|
14 |
14 |
$0.00 |
| 90710 |
|
24 |
24 |
$0.00 |