| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,183 |
1,863 |
$66K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,331 |
1,191 |
$33K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
551 |
547 |
$30K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
496 |
488 |
$27K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
213 |
193 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,068 |
961 |
$7K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
711 |
662 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
57 |
57 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
41 |
31 |
$1K |
| 99381 |
|
13 |
12 |
$663.24 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
14 |
$553.36 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
72 |
66 |
$506.31 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
24 |
24 |
$189.63 |
| 90697 |
|
83 |
77 |
$124.53 |
| 90671 |
|
292 |
249 |
$0.00 |
| 90681 |
|
58 |
54 |
$0.00 |
| 90633 |
|
60 |
59 |
$0.00 |
| 90710 |
|
26 |
26 |
$0.00 |
| 0486T |
|
34 |
20 |
$0.00 |
| 90698 |
|
13 |
13 |
$0.00 |