| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,989 |
2,270 |
$140K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
199 |
188 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
223 |
203 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
626 |
587 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
93 |
85 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
69 |
60 |
$4K |
| 92567 |
|
428 |
402 |
$3K |
| 3008F |
|
374 |
345 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
202 |
189 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
414 |
383 |
$2K |
| 99188 |
|
97 |
91 |
$2K |
| 92587 |
|
258 |
233 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
167 |
157 |
$891.69 |
| 90674 |
|
247 |
228 |
$390.94 |
| 90473 |
|
13 |
13 |
$169.60 |
| 96127 |
|
107 |
103 |
$140.00 |
| 90671 |
|
14 |
14 |
$10.00 |
| 90700 |
|
15 |
14 |
$0.00 |
| 90686 |
|
13 |
13 |
$0.00 |