| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,659 |
4,332 |
$251K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
315 |
297 |
$30K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
256 |
255 |
$24K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
938 |
923 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
131 |
122 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
51 |
51 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
473 |
334 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
356 |
178 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
352 |
265 |
$3K |
| 99000 |
|
111 |
106 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
28 |
14 |
$461.48 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
18 |
18 |
$300.06 |
| 90461 |
|
15 |
13 |
$107.86 |
| 90686 |
|
334 |
332 |
$22.16 |
| 90680 |
|
16 |
16 |
$0.00 |
| 90677 |
|
82 |
81 |
$0.00 |
| 90656 |
|
33 |
33 |
$0.00 |
| 90697 |
|
41 |
40 |
$0.00 |
| 90670 |
|
90 |
87 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |