| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,803 |
1,490 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
296 |
246 |
$978.36 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
593 |
495 |
$899.40 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
74 |
62 |
$508.16 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
309 |
258 |
$434.38 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
136 |
108 |
$236.27 |
| 90686 |
|
505 |
420 |
$154.49 |
| 92551 |
|
875 |
690 |
$124.25 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
182 |
112 |
$86.04 |
| 90633 |
|
18 |
15 |
$44.14 |
| 99173 |
|
856 |
678 |
$28.61 |
| 96127 |
|
307 |
233 |
$24.12 |
| 90734 |
|
17 |
15 |
$22.07 |
| 90651 |
|
45 |
35 |
$22.07 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
151 |
123 |
$12.61 |
| 81002 |
|
792 |
638 |
$6.82 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
21 |
17 |
$0.00 |
| 90461 |
|
394 |
318 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,162 |
952 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
130 |
56 |
$0.00 |
| 90670 |
|
12 |
12 |
$0.00 |
| 3008F |
|
1,019 |
828 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |