| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
702 |
672 |
$48K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
442 |
429 |
$45K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
551 |
548 |
$23K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
210 |
208 |
$21K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
207 |
207 |
$21K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
366 |
361 |
$16K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
79 |
79 |
$8K |
| 99051 |
|
419 |
412 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
200 |
198 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
288 |
282 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
257 |
129 |
$4K |
| 96127 |
|
234 |
230 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
67 |
67 |
$1K |
| 85018 |
|
123 |
122 |
$392.37 |
| 96161 |
|
64 |
61 |
$270.72 |
| 90688 |
|
51 |
50 |
$0.00 |