| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
848 |
799 |
$55K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
368 |
328 |
$35K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
177 |
175 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
280 |
270 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15 |
13 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
85 |
81 |
$1K |
| 0071A |
|
60 |
31 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
12 |
$1K |
| 0072A |
|
52 |
25 |
$1K |
| 99173 |
|
66 |
62 |
$550.75 |
| 94760 |
|
191 |
176 |
$476.42 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$246.50 |
| 90686 |
|
92 |
89 |
$151.27 |
| 91307 |
|
121 |
60 |
$0.00 |