| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,468 |
1,337 |
$100K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
609 |
608 |
$56K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
516 |
515 |
$43K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
276 |
255 |
$27K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
250 |
244 |
$22K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
60 |
60 |
$5K |
| 99383 |
|
23 |
23 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,637 |
1,635 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
37 |
37 |
$495.95 |
| 96127 |
|
125 |
125 |
$472.80 |
| 36416 |
|
55 |
53 |
$118.34 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
93 |
93 |
$0.00 |
| 83655 |
|
12 |
12 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
29 |
29 |
$0.00 |