| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,217 |
1,138 |
$94K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,325 |
1,252 |
$76K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
502 |
500 |
$45K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
481 |
459 |
$41K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,495 |
1,477 |
$19K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
190 |
190 |
$18K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,505 |
942 |
$15K |
| 87428 |
|
184 |
183 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
114 |
113 |
$11K |
| 99000 |
|
412 |
393 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
453 |
351 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
87 |
85 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
130 |
58 |
$1K |
| 90474 |
|
85 |
84 |
$861.36 |
| 90461 |
|
27 |
21 |
$222.32 |
| 90633 |
|
14 |
14 |
$0.00 |
| 90670 |
|
282 |
277 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 90710 |
|
14 |
14 |
$0.00 |
| 90680 |
|
110 |
109 |
$0.00 |
| 90686 |
|
417 |
410 |
$0.00 |
| 90677 |
|
132 |
131 |
$0.00 |
| 90697 |
|
82 |
79 |
$0.00 |
| 90698 |
|
49 |
48 |
$0.00 |
| 90651 |
|
32 |
32 |
$0.00 |
| 90696 |
|
14 |
14 |
$0.00 |
| 90744 |
|
14 |
13 |
$0.00 |