| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
822 |
776 |
$52K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
620 |
573 |
$25K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
540 |
502 |
$17K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
551 |
545 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
101 |
101 |
$7K |
| 92551 |
|
391 |
391 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
51 |
51 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
123 |
84 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
132 |
62 |
$2K |
| 99173 |
|
437 |
436 |
$2K |
| 96127 |
|
704 |
357 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
29 |
29 |
$1K |
| 99215 |
Prolong outpt/office vis |
14 |
14 |
$1K |
| 96160 |
|
63 |
61 |
$227.08 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
17 |
16 |
$127.50 |
| 81002 |
|
29 |
29 |
$87.29 |
| 81003 |
|
25 |
25 |
$37.50 |
| 90685 |
|
16 |
16 |
$0.00 |
| 3008F |
|
635 |
634 |
$0.00 |
| 90686 |
|
423 |
422 |
$0.00 |
| 90688 |
|
12 |
12 |
$0.00 |