| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,706 |
1,600 |
$92K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
458 |
427 |
$33K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
357 |
329 |
$30K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
339 |
336 |
$30K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
242 |
237 |
$22K |
| 87428 |
|
311 |
307 |
$19K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,316 |
690 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
73 |
70 |
$7K |
| 99000 |
|
464 |
444 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
463 |
459 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
509 |
358 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
487 |
376 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
176 |
169 |
$3K |
| 90791 |
Psychiatric diagnostic evaluation |
13 |
13 |
$1K |
| 90461 |
|
126 |
121 |
$909.27 |
| 90834 |
Psychotherapy, 45 minutes with patient |
12 |
12 |
$618.15 |
| 90686 |
|
489 |
482 |
$0.00 |
| 90656 |
|
29 |
29 |
$0.00 |
| 90697 |
|
27 |
26 |
$0.00 |
| 90651 |
|
28 |
28 |
$0.00 |
| 90698 |
|
56 |
56 |
$0.00 |
| 90680 |
|
13 |
12 |
$0.00 |
| 90670 |
|
153 |
152 |
$0.00 |