| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
710 |
614 |
$34K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
160 |
147 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
119 |
109 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
560 |
487 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
85 |
75 |
$6K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
230 |
201 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
38 |
38 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
102 |
41 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
103 |
77 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
32 |
26 |
$796.99 |
| 96127 |
|
125 |
116 |
$595.44 |
| 90685 |
|
19 |
15 |
$0.00 |
| 90670 |
|
59 |
52 |
$0.00 |
| 90648 |
|
32 |
27 |
$0.00 |
| 90686 |
|
34 |
30 |
$0.00 |
| 90688 |
|
14 |
12 |
$0.00 |