| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,881 |
2,598 |
$226K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,494 |
2,322 |
$138K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
420 |
409 |
$32K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
254 |
243 |
$19K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,192 |
1,155 |
$14K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
163 |
161 |
$13K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
369 |
360 |
$6K |
| 81002 |
|
1,203 |
1,145 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
426 |
415 |
$2K |
| 92568 |
|
253 |
232 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
47 |
45 |
$675.13 |
| 96127 |
|
227 |
208 |
$454.50 |
| 99173 |
|
616 |
590 |
$191.90 |
| 90686 |
|
432 |
428 |
$51.99 |
| 99072 |
|
74 |
70 |
$0.00 |
| 90633 |
|
14 |
14 |
$0.00 |