| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,098 |
1,039 |
$57K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
359 |
352 |
$27K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
479 |
465 |
$20K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
283 |
273 |
$19K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
170 |
170 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
693 |
678 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
50 |
49 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
189 |
186 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
320 |
316 |
$2K |
| 90474 |
|
124 |
123 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
56 |
53 |
$967.20 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
16 |
$479.90 |
| 81002 |
|
239 |
234 |
$353.15 |
| 94760 |
|
229 |
221 |
$244.92 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
49 |
49 |
$234.89 |
| 90651 |
|
29 |
28 |
$0.02 |
| 90686 |
|
158 |
158 |
$0.00 |
| 90680 |
|
123 |
122 |
$0.00 |
| 99000 |
|
67 |
67 |
$0.00 |
| 90698 |
|
50 |
50 |
$0.00 |
| 90633 |
|
96 |
91 |
$0.00 |
| 90670 |
|
233 |
230 |
$0.00 |
| 90734 |
|
16 |
16 |
$0.00 |
| 90685 |
|
13 |
13 |
$0.00 |
| 90710 |
|
15 |
12 |
$0.00 |
| 90648 |
|
43 |
43 |
$0.00 |