| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,533 |
1,381 |
$96K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,186 |
1,077 |
$43K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
377 |
342 |
$32K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
216 |
203 |
$19K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
958 |
780 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
126 |
117 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
62 |
54 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
213 |
172 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
27 |
26 |
$2K |
| 99173 |
|
525 |
484 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
96 |
94 |
$1K |
| 90686 |
|
412 |
372 |
$868.16 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
39 |
37 |
$582.66 |
| 90656 |
|
44 |
41 |
$132.87 |
| 90660 |
|
17 |
16 |
$80.82 |
| 90685 |
|
32 |
32 |
$22.31 |
| 90670 |
|
15 |
14 |
$0.00 |
| 91307 |
|
12 |
12 |
$0.00 |
| 90688 |
|
24 |
22 |
$0.00 |