| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,145 |
1,962 |
$100K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,058 |
1,037 |
$18K |
| 92552 |
|
716 |
715 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
111 |
109 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
557 |
542 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
77 |
77 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
256 |
126 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
142 |
140 |
$2K |
| 99173 |
|
488 |
486 |
$768.41 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$728.02 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
12 |
$706.30 |
| 90686 |
|
59 |
59 |
$693.48 |
| 90461 |
|
56 |
56 |
$530.20 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
16 |
$192.01 |
| 81002 |
|
53 |
53 |
$24.58 |