| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
802 |
766 |
$46K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
263 |
250 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
158 |
156 |
$13K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
163 |
162 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
93 |
92 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
69 |
69 |
$6K |
| 90670 |
|
173 |
172 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
175 |
174 |
$2K |
| 90648 |
|
186 |
185 |
$2K |
| 90723 |
|
128 |
127 |
$2K |
| 90686 |
|
146 |
145 |
$2K |
| 90710 |
|
46 |
46 |
$1K |
| 83655 |
|
47 |
47 |
$689.43 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
40 |
39 |
$535.65 |
| 90651 |
|
15 |
14 |
$500.23 |
| 90633 |
|
33 |
33 |
$385.75 |
| 90681 |
|
27 |
27 |
$377.45 |
| 99173 |
|
138 |
137 |
$326.34 |
| 90696 |
|
26 |
26 |
$324.85 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
53 |
50 |
$292.32 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
34 |
34 |
$268.23 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
23 |
22 |
$182.30 |
| 90700 |
|
13 |
13 |
$161.02 |
| 85018 |
|
56 |
56 |
$151.82 |