| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,643 |
3,431 |
$262K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
432 |
408 |
$39K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,634 |
1,407 |
$34K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
427 |
317 |
$33K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
383 |
314 |
$31K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,950 |
1,658 |
$28K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
258 |
228 |
$19K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
661 |
580 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
65 |
63 |
$6K |
| 96127 |
|
166 |
163 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
193 |
173 |
$2K |
| 36416 |
|
473 |
350 |
$1K |
| 87428 |
|
21 |
14 |
$820.31 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
29 |
26 |
$460.29 |
| 90474 |
|
24 |
12 |
$137.29 |
| 90670 |
|
189 |
152 |
$0.00 |
| 90681 |
|
17 |
12 |
$0.00 |
| 90686 |
|
605 |
538 |
$0.00 |
| 97802 |
|
16 |
15 |
$0.00 |
| 85018 |
|
150 |
77 |
$0.00 |
| 90697 |
|
67 |
43 |
$0.00 |