| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,805 |
1,499 |
$104K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
531 |
484 |
$45K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
319 |
290 |
$11K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
567 |
519 |
$9K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
43 |
36 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
59 |
59 |
$6K |
| 97802 |
|
287 |
279 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
616 |
607 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
42 |
42 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
273 |
254 |
$3K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
12 |
12 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
220 |
215 |
$2K |
| 86580 |
|
102 |
102 |
$690.43 |
| 90686 |
|
54 |
54 |
$553.48 |
| 94010 |
|
16 |
16 |
$482.43 |
| 92551 |
|
54 |
54 |
$372.41 |
| 92558 |
|
17 |
17 |
$148.07 |
| 92567 |
|
12 |
12 |
$128.60 |
| 99173 |
|
20 |
20 |
$39.91 |