| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
224 |
195 |
$11K |
| 99199 |
Unlisted special service, procedure or report |
195 |
189 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
43 |
41 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
103 |
103 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
25 |
25 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$935.04 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
90 |
89 |
$840.51 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
34 |
16 |
$480.42 |
| 96127 |
|
51 |
49 |
$297.50 |