| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,470 |
2,110 |
$119K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,101 |
936 |
$68K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,286 |
1,572 |
$66K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
653 |
581 |
$46K |
| 90461 |
|
1,353 |
1,148 |
$29K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
313 |
285 |
$21K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
205 |
199 |
$17K |
| 99383 |
|
249 |
229 |
$17K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
194 |
172 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
75 |
75 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
403 |
300 |
$8K |
| 99382 |
|
139 |
109 |
$6K |
| 99381 |
|
56 |
51 |
$4K |
| 99384 |
|
45 |
45 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
332 |
229 |
$3K |
| 90651 |
|
59 |
43 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
187 |
133 |
$1K |
| 90671 |
|
430 |
416 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
97 |
76 |
$958.32 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
93 |
89 |
$687.98 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
28 |
26 |
$186.11 |
| 96127 |
|
22 |
16 |
$46.42 |
| 94760 |
|
344 |
292 |
$17.21 |
| 90697 |
|
158 |
126 |
$0.00 |
| 90680 |
|
51 |
45 |
$0.00 |
| 90723 |
|
499 |
428 |
$0.00 |
| 90696 |
|
28 |
24 |
$0.00 |
| 90656 |
|
46 |
46 |
$0.00 |
| 90716 |
|
31 |
27 |
$0.00 |
| 90686 |
|
21 |
21 |
$0.00 |
| 90633 |
|
345 |
297 |
$0.00 |
| 90707 |
|
32 |
28 |
$0.00 |
| 90648 |
|
622 |
538 |
$0.00 |
| 90670 |
|
438 |
337 |
$0.00 |
| 90715 |
|
14 |
14 |
$0.00 |
| 90681 |
|
131 |
117 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 90710 |
|
42 |
38 |
$0.00 |
| 90734 |
|
29 |
28 |
$0.00 |
| 99173 |
|
22 |
16 |
$0.00 |