| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,870 |
3,475 |
$147K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,859 |
1,768 |
$55K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
516 |
496 |
$34K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
560 |
517 |
$32K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
587 |
571 |
$27K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
399 |
372 |
$24K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,232 |
1,205 |
$23K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
670 |
654 |
$23K |
| 83655 |
|
1,171 |
1,119 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
182 |
179 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
80 |
80 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
96 |
96 |
$3K |
| 86328 |
|
57 |
55 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
113 |
110 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
28 |
28 |
$187.50 |
| 90686 |
|
340 |
331 |
$20.53 |
| 90656 |
|
136 |
133 |
$0.00 |
| 90680 |
|
43 |
39 |
$0.00 |
| 90651 |
|
39 |
38 |
$0.00 |
| 90698 |
|
12 |
12 |
$0.00 |
| 90685 |
|
30 |
27 |
$0.00 |
| 90670 |
|
278 |
266 |
$0.00 |
| 90734 |
|
16 |
16 |
$0.00 |
| 90655 |
|
27 |
23 |
$0.00 |
| 3725F |
|
107 |
106 |
$0.00 |
| 90648 |
|
31 |
27 |
$0.00 |