| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,284 |
9,600 |
$481K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,909 |
2,390 |
$165K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,290 |
3,043 |
$42K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
474 |
447 |
$15K |
| 90686 |
|
195 |
176 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
25 |
24 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
32 |
26 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
76 |
75 |
$2K |
| 0011A |
|
48 |
48 |
$1K |
| 0012A |
|
30 |
30 |
$1K |
| 81002 |
|
55 |
52 |
$132.53 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
82 |
80 |
$0.00 |
| 1036F |
|
37 |
32 |
$0.00 |
| 4037F |
|
63 |
58 |
$0.00 |
| 91301 |
|
99 |
98 |
$0.00 |