| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,024 |
899 |
$66K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
553 |
507 |
$52K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
313 |
311 |
$14K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
478 |
477 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
160 |
159 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
88 |
87 |
$1K |
| 90461 |
|
38 |
38 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
12 |
$1K |
| 94664 |
|
66 |
64 |
$996.49 |
| 69210 |
|
28 |
25 |
$927.56 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
23 |
12 |
$305.76 |
| 90686 |
|
236 |
236 |
$0.00 |