| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,279 |
6,846 |
$478K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,899 |
2,820 |
$266K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,374 |
4,349 |
$76K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
823 |
823 |
$73K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
666 |
666 |
$61K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,646 |
1,634 |
$34K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
364 |
364 |
$34K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
373 |
356 |
$32K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,682 |
1,679 |
$27K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
56 |
56 |
$5K |
| 0071A |
|
117 |
117 |
$5K |
| 0072A |
|
101 |
101 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
103 |
103 |
$1K |
| 87070 |
|
50 |
50 |
$443.53 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
67 |
65 |
$330.79 |
| 96127 |
|
14 |
14 |
$61.09 |
| 90619 |
|
27 |
27 |
$0.25 |