| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92587 |
|
392 |
385 |
$22K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
419 |
396 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
141 |
140 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
140 |
127 |
$10K |
| 97802 |
|
376 |
369 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
89 |
86 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
366 |
332 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
182 |
160 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
228 |
214 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
142 |
129 |
$2K |
| 90461 |
|
99 |
93 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$999.62 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$911.76 |
| 96127 |
|
42 |
42 |
$115.21 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$114.66 |