| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,578 |
1,385 |
$102K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
127 |
123 |
$13K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
99 |
98 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
779 |
762 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
40 |
39 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
25 |
25 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
594 |
482 |
$2K |
| 99188 |
|
222 |
221 |
$919.10 |
| 96127 |
|
294 |
240 |
$533.54 |
| 99177 |
|
316 |
312 |
$358.00 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
21 |
19 |
$217.60 |
| 99051 |
|
81 |
80 |
$163.80 |
| 90686 |
|
163 |
156 |
$150.68 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
25 |
25 |
$147.13 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
187 |
184 |
$29.04 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
13 |
12 |
$0.00 |
| 90672 |
|
14 |
14 |
$0.00 |
| 90685 |
|
12 |
12 |
$0.00 |