| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
748 |
676 |
$48K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
103 |
92 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
47 |
40 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
465 |
451 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
424 |
358 |
$396.72 |
| 99177 |
|
95 |
95 |
$242.15 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
89 |
87 |
$197.19 |
| 90686 |
|
88 |
85 |
$29.04 |
| 90698 |
|
12 |
12 |
$0.00 |
| 99188 |
|
15 |
15 |
$0.00 |
| 99051 |
|
28 |
28 |
$0.00 |
| 90685 |
|
14 |
14 |
$0.00 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
18 |
18 |
$0.00 |
| 90670 |
|
14 |
14 |
$0.00 |