| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,412 |
2,184 |
$42K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
381 |
365 |
$15K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
483 |
474 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
409 |
383 |
$10K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
389 |
383 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
333 |
328 |
$9K |
| 99072 |
|
920 |
757 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
484 |
484 |
$2K |
| 86580 |
|
305 |
298 |
$497.87 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
25 |
25 |
$110.08 |
| 87449 |
|
12 |
12 |
$38.46 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
475 |
462 |
$34.70 |
| 96127 |
|
90 |
86 |
$4.34 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
16 |
15 |
$0.00 |