| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,203 |
1,951 |
$100K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
589 |
527 |
$37K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
422 |
397 |
$25K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
318 |
268 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
438 |
403 |
$14K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
597 |
551 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,238 |
1,160 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
113 |
111 |
$7K |
| 87428 |
|
58 |
57 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
41 |
40 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
107 |
104 |
$1K |
| 0012A |
|
14 |
14 |
$560.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
54 |
53 |
$533.93 |
| 81002 |
|
15 |
12 |
$30.48 |
| 94760 |
|
12 |
12 |
$27.91 |
| 90686 |
|
66 |
64 |
$3.10 |
| 90674 |
|
12 |
12 |
$0.60 |