| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
665 |
572 |
$37K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
238 |
232 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
118 |
118 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
184 |
139 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
17 |
17 |
$1K |
| 96127 |
|
305 |
199 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
12 |
$496.57 |
| 90461 |
|
12 |
12 |
$480.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
28 |
14 |
$364.00 |
| 90686 |
|
481 |
251 |
$238.50 |
| 99173 |
|
15 |
15 |
$32.48 |