| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,130 |
2,012 |
$143K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
424 |
400 |
$41K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
377 |
372 |
$35K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,056 |
1,042 |
$8K |
| 99051 |
|
1,033 |
1,020 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
26 |
26 |
$2K |
| 99177 |
|
388 |
386 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
597 |
590 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
275 |
209 |
$647.87 |
| 90686 |
|
224 |
222 |
$480.63 |
| 90474 |
|
85 |
85 |
$159.70 |
| 90685 |
|
35 |
35 |
$71.89 |
| 90670 |
|
229 |
229 |
$0.00 |
| 90633 |
|
14 |
14 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
44 |
44 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$0.00 |
| 90698 |
|
216 |
216 |
$0.00 |
| 90680 |
|
87 |
87 |
$0.00 |
| 90744 |
|
41 |
41 |
$0.00 |