| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,479 |
2,188 |
$137K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,311 |
2,090 |
$22K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
334 |
290 |
$18K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
216 |
199 |
$15K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,114 |
501 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
845 |
795 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
94 |
91 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
41 |
37 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
41 |
40 |
$3K |
| 92551 |
|
156 |
152 |
$1K |
| 96127 |
|
189 |
182 |
$821.21 |
| 99173 |
|
197 |
193 |
$400.91 |
| 90686 |
|
63 |
63 |
$187.35 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
12 |
$175.56 |
| 94664 |
|
13 |
13 |
$140.94 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
13 |
13 |
$73.72 |
| 90723 |
|
75 |
70 |
$0.00 |
| 90648 |
|
171 |
157 |
$0.00 |
| 90670 |
|
121 |
113 |
$0.00 |