| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,351 |
1,309 |
$93K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
46 |
45 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
383 |
382 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
69 |
56 |
$672.07 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
58 |
58 |
$305.30 |
| 99051 |
|
76 |
76 |
$255.14 |
| 90686 |
|
63 |
62 |
$145.20 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
42 |
42 |
$25.94 |
| 99177 |
|
109 |
109 |
$0.00 |