| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,079 |
968 |
$94K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
818 |
694 |
$80K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
726 |
702 |
$77K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,122 |
1,012 |
$56K |
| 87428 |
|
575 |
539 |
$30K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
281 |
273 |
$30K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
131 |
128 |
$15K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
739 |
721 |
$12K |
| 90461 |
|
354 |
347 |
$11K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
676 |
649 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
814 |
787 |
$7K |
| T1015 |
Clinic visit/encounter, all-inclusive |
50 |
40 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
159 |
157 |
$2K |
| 99383 |
|
15 |
14 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
74 |
72 |
$667.17 |
| 90473 |
|
65 |
64 |
$662.08 |
| 99051 |
|
16 |
13 |
$369.20 |
| 90686 |
|
13 |
13 |
$0.60 |
| 90656 |
|
15 |
15 |
$0.14 |