| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,697 |
2,691 |
$31K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
727 |
727 |
$24K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
564 |
563 |
$19K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
424 |
424 |
$14K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
411 |
410 |
$12K |
| 90461 |
|
409 |
409 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,704 |
7,332 |
$6K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
226 |
226 |
$3K |
| 90686 |
|
173 |
173 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
41 |
41 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
535 |
518 |
$416.58 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,776 |
1,737 |
$350.40 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
464 |
463 |
$124.20 |
| 96127 |
|
1,576 |
1,576 |
$87.43 |
| 87081 |
|
110 |
107 |
$54.00 |
| 99173 |
|
787 |
787 |
$15.00 |