| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,674 |
6,084 |
$788K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,710 |
3,427 |
$457K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,495 |
3,454 |
$427K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,460 |
2,274 |
$267K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,719 |
1,708 |
$220K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
463 |
460 |
$59K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,195 |
3,144 |
$14K |
| 96127 |
|
163 |
163 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
545 |
535 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
37 |
35 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,793 |
2,750 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17 |
17 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,779 |
1,751 |
$980.91 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
292 |
282 |
$149.73 |
| 90474 |
|
353 |
347 |
$121.56 |
| 92551 |
|
128 |
126 |
$101.09 |
| 90461 |
|
1,795 |
1,764 |
$88.55 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
132 |
116 |
$56.18 |
| 99174 |
|
696 |
689 |
$0.00 |
| 90680 |
|
1,734 |
1,697 |
$0.00 |
| 90686 |
|
2,207 |
2,170 |
$0.00 |
| 90723 |
|
1,868 |
1,826 |
$0.00 |
| 90716 |
|
818 |
805 |
$0.00 |
| 90696 |
|
34 |
32 |
$0.00 |
| 90656 |
|
73 |
73 |
$0.00 |
| 90381 |
|
14 |
13 |
$0.00 |
| 90707 |
|
813 |
800 |
$0.00 |
| 90648 |
|
2,378 |
2,331 |
$0.00 |
| 90671 |
|
245 |
240 |
$0.00 |
| 90633 |
|
953 |
939 |
$0.00 |
| 90670 |
|
2,149 |
2,106 |
$0.00 |
| 90700 |
|
84 |
79 |
$0.00 |