| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,471 |
3,302 |
$185K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
798 |
763 |
$64K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,817 |
986 |
$33K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
241 |
240 |
$19K |
| 99173 |
|
475 |
471 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
94 |
93 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
57 |
57 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
141 |
140 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
27 |
27 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
138 |
136 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
144 |
72 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
36 |
35 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
96 |
96 |
$883.22 |
| 99051 |
|
49 |
48 |
$811.44 |
| 92551 |
|
25 |
25 |
$238.00 |
| 96127 |
|
295 |
282 |
$89.28 |
| 85018 |
|
37 |
37 |
$79.92 |
| 90677 |
|
13 |
12 |
$0.00 |
| 90656 |
|
100 |
96 |
$0.00 |