| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
665 |
594 |
$45K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
824 |
746 |
$39K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
374 |
355 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
43 |
42 |
$3K |
| 92551 |
|
275 |
271 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
87 |
83 |
$1K |
| 99173 |
|
246 |
242 |
$564.69 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
57 |
54 |
$378.94 |
| 90656 |
|
17 |
16 |
$327.04 |
| 90686 |
|
97 |
95 |
$202.81 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
12 |
$74.28 |
| 96127 |
|
14 |
12 |
$36.96 |
| 3008F |
|
1,350 |
1,177 |
$0.00 |