| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,249 |
1,887 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
703 |
578 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
614 |
494 |
$759.12 |
| 90670 |
|
529 |
433 |
$286.91 |
| 90698 |
|
444 |
373 |
$220.70 |
| 90680 |
|
303 |
250 |
$198.63 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
66 |
52 |
$111.23 |
| 90686 |
|
350 |
301 |
$44.14 |
| 99173 |
|
499 |
436 |
$24.52 |
| 90744 |
|
96 |
90 |
$22.07 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,639 |
1,496 |
$0.00 |
| 90461 |
|
592 |
542 |
$0.00 |
| 90685 |
|
166 |
155 |
$0.00 |
| 90633 |
|
125 |
118 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
55 |
55 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
157 |
150 |
$0.00 |
| 90707 |
|
15 |
15 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
17 |
17 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
28 |
12 |
$0.00 |
| 90651 |
|
32 |
32 |
$0.00 |
| 90716 |
|
14 |
14 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
210 |
180 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
178 |
162 |
$0.00 |
| 87081 |
|
16 |
16 |
$0.00 |