| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,220 |
6,729 |
$90K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
347 |
337 |
$38K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
290 |
266 |
$27K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
300 |
299 |
$10K |
| 90686 |
|
703 |
702 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
154 |
149 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
469 |
454 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
94 |
92 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
51 |
49 |
$2K |
| 90670 |
|
353 |
352 |
$1K |
| 90698 |
|
279 |
278 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
79 |
76 |
$1K |
| 92551 |
|
68 |
68 |
$950.88 |
| 90680 |
|
102 |
102 |
$371.00 |
| 90633 |
|
81 |
81 |
$357.00 |
| G0008 |
Administration of influenza virus vaccine |
17 |
17 |
$180.00 |
| 96127 |
|
95 |
93 |
$163.27 |
| 99173 |
|
148 |
146 |
$128.55 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
43 |
41 |
$106.68 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$93.60 |
| 90744 |
|
27 |
27 |
$84.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
12 |
$59.51 |
| 96160 |
|
79 |
77 |
$45.09 |
| 90697 |
|
21 |
21 |
$0.00 |
| 96161 |
|
14 |
14 |
$0.00 |
| 90651 |
|
14 |
14 |
$0.00 |