| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
960 |
934 |
$71K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
440 |
437 |
$48K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
424 |
404 |
$44K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,443 |
1,432 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
68 |
67 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
77 |
77 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
49 |
49 |
$6K |
| 99177 |
|
652 |
649 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
720 |
595 |
$3K |
| 90686 |
|
495 |
494 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
96 |
96 |
$822.94 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
655 |
653 |
$604.48 |
| 90685 |
|
76 |
76 |
$176.04 |
| 90473 |
|
34 |
34 |
$159.72 |
| 85013 |
|
12 |
12 |
$150.48 |
| 90672 |
|
56 |
56 |
$116.16 |
| 99051 |
|
27 |
27 |
$82.46 |
| 96161 |
|
98 |
95 |
$63.71 |
| 90688 |
|
15 |
15 |
$59.04 |
| 90670 |
|
278 |
276 |
$58.08 |
| 90698 |
|
211 |
211 |
$14.52 |
| 83655 |
|
12 |
12 |
$0.00 |
| 99173 |
|
24 |
24 |
$0.00 |
| 90734 |
|
13 |
13 |
$0.00 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
28 |
28 |
$0.00 |
| 90633 |
|
14 |
14 |
$0.00 |
| 90680 |
|
82 |
82 |
$0.00 |
| 96127 |
|
42 |
40 |
$0.00 |
| 90474 |
|
86 |
86 |
$0.00 |
| 36416 |
|
38 |
38 |
$0.00 |
| 90744 |
|
25 |
25 |
$0.00 |
| 90651 |
|
14 |
14 |
$0.00 |