| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,026 |
989 |
$75K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
20 |
18 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
192 |
190 |
$1K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
105 |
104 |
$440.93 |
| 99051 |
|
48 |
48 |
$252.40 |
| 99177 |
|
60 |
58 |
$149.36 |
| 90686 |
|
14 |
14 |
$43.56 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
36 |
29 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
15 |
14 |
$0.00 |