| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,566 |
2,392 |
$160K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,325 |
1,317 |
$70K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
400 |
368 |
$31K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
278 |
276 |
$24K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
994 |
839 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
197 |
179 |
$14K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
349 |
349 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
39 |
39 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
211 |
205 |
$3K |
| 90686 |
|
202 |
198 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
57 |
55 |
$793.80 |
| 96127 |
|
83 |
37 |
$377.10 |
| 96161 |
|
51 |
51 |
$100.13 |