| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,492 |
1,423 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
102 |
92 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
73 |
73 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
39 |
39 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
122 |
116 |
$558.70 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
78 |
38 |
$146.71 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
25 |
25 |
$120.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
48 |
42 |
$96.52 |
| 96127 |
|
212 |
208 |
$43.68 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
62 |
62 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
57 |
54 |
$0.00 |
| 1036F |
|
12 |
12 |
$0.00 |