| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,062 |
1,722 |
$76K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
588 |
536 |
$25K |
| 96127 |
|
930 |
766 |
$23K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
375 |
339 |
$22K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
523 |
487 |
$21K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
127 |
116 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
219 |
174 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
86 |
76 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
587 |
543 |
$4K |
| 92551 |
|
319 |
287 |
$3K |
| 92588 |
|
89 |
77 |
$3K |
| 99177 |
|
398 |
331 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
27 |
26 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
194 |
86 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
74 |
58 |
$776.05 |
| 92558 |
|
60 |
53 |
$765.60 |
| 96160 |
|
20 |
15 |
$381.48 |
| 90686 |
|
237 |
206 |
$102.14 |
| 85018 |
|
25 |
13 |
$18.10 |
| 36416 |
|
64 |
43 |
$5.00 |
| 97802 |
|
12 |
12 |
$0.00 |
| 3008F |
|
300 |
269 |
$0.00 |
| 94760 |
|
12 |
12 |
$0.00 |
| 90670 |
|
29 |
24 |
$0.00 |