| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,643 |
3,268 |
$150K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,029 |
928 |
$59K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
597 |
588 |
$39K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,478 |
1,425 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
637 |
599 |
$17K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
197 |
191 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
700 |
294 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
587 |
510 |
$6K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
224 |
215 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
16 |
14 |
$954.75 |
| 99173 |
|
425 |
409 |
$583.69 |
| 90621 |
|
69 |
64 |
$265.74 |
| 90686 |
|
509 |
496 |
$190.30 |
| 81002 |
|
31 |
28 |
$73.66 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
197 |
170 |
$0.00 |
| 90651 |
|
14 |
12 |
$0.00 |
| 90734 |
|
17 |
17 |
$0.00 |