| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
908 |
828 |
$101K |
| 90461 |
|
490 |
471 |
$22K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
136 |
124 |
$20K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
696 |
673 |
$17K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
689 |
666 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
47 |
47 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
43 |
42 |
$7K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
141 |
139 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26 |
26 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
64 |
61 |
$954.69 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
51 |
48 |
$831.35 |
| 90723 |
|
70 |
67 |
$0.00 |
| 90647 |
|
39 |
38 |
$0.00 |
| 90716 |
|
30 |
30 |
$0.00 |
| 90686 |
|
66 |
64 |
$0.00 |
| 90670 |
|
93 |
92 |
$0.00 |
| 90671 |
|
15 |
12 |
$0.00 |
| 90633 |
|
13 |
13 |
$0.00 |
| 90707 |
|
44 |
44 |
$0.00 |
| 90685 |
|
17 |
14 |
$0.00 |