| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,257 |
1,034 |
$50K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
721 |
609 |
$25K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
347 |
253 |
$18K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
236 |
202 |
$13K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
194 |
162 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
93 |
70 |
$5K |
| 97802 |
|
379 |
304 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
378 |
141 |
$3K |
| 3008F |
|
605 |
486 |
$2K |
| 92552 |
|
114 |
94 |
$2K |
| 96127 |
|
440 |
342 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
245 |
164 |
$911.52 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
50 |
50 |
$773.70 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
31 |
28 |
$345.10 |
| 96161 |
|
62 |
55 |
$144.44 |
| 99173 |
|
104 |
88 |
$136.22 |
| 96160 |
|
18 |
14 |
$36.43 |
| 99177 |
|
15 |
12 |
$33.27 |
| 90686 |
|
235 |
215 |
$0.01 |
| 99072 |
|
14 |
14 |
$0.00 |
| 90633 |
|
15 |
13 |
$0.00 |
| 90670 |
|
66 |
59 |
$0.00 |
| 90685 |
|
39 |
31 |
$0.00 |
| 99000 |
|
65 |
59 |
$0.00 |
| 90723 |
|
29 |
29 |
$0.00 |
| 90647 |
|
29 |
25 |
$0.00 |