| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
766 |
729 |
$40K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
226 |
226 |
$17K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
355 |
351 |
$14K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
187 |
181 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
547 |
539 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
98 |
98 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
73 |
73 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
124 |
121 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
169 |
169 |
$967.88 |
| 90474 |
|
89 |
89 |
$822.91 |
| 94760 |
|
306 |
284 |
$364.77 |
| 81002 |
|
219 |
214 |
$312.28 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
36 |
36 |
$113.98 |
| 90651 |
|
26 |
26 |
$0.03 |
| 90686 |
|
131 |
130 |
$0.00 |
| 90680 |
|
91 |
90 |
$0.00 |
| 99000 |
|
85 |
82 |
$0.00 |
| 90698 |
|
28 |
27 |
$0.00 |
| 90670 |
|
132 |
131 |
$0.00 |
| 90648 |
|
27 |
27 |
$0.00 |
| 90734 |
|
39 |
38 |
$0.00 |
| 90633 |
|
71 |
71 |
$0.00 |