| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,935 |
2,651 |
$161K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
458 |
428 |
$34K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
316 |
296 |
$26K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
284 |
284 |
$25K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
364 |
362 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
712 |
708 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
349 |
343 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
85 |
85 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
268 |
264 |
$4K |
| 90474 |
|
113 |
113 |
$2K |
| 87807 |
|
132 |
126 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
148 |
148 |
$1K |
| 83655 |
|
69 |
69 |
$861.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$269.03 |
| 85018 |
|
95 |
93 |
$228.95 |
| 90686 |
|
257 |
257 |
$172.60 |
| 90670 |
|
226 |
226 |
$0.00 |
| 90633 |
|
42 |
42 |
$0.00 |
| 90685 |
|
17 |
17 |
$0.00 |
| 90723 |
|
162 |
162 |
$0.00 |
| 90680 |
|
114 |
114 |
$0.00 |
| 90647 |
|
153 |
153 |
$0.00 |
| 90674 |
|
13 |
13 |
$0.00 |