| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,746 |
3,498 |
$249K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
390 |
366 |
$33K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
310 |
288 |
$27K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,488 |
770 |
$22K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
226 |
199 |
$20K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
171 |
159 |
$17K |
| 90461 |
|
493 |
371 |
$14K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,131 |
1,038 |
$12K |
| 87428 |
|
140 |
139 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
522 |
508 |
$5K |
| 99050 |
|
150 |
147 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
183 |
92 |
$2K |
| 0071A |
|
42 |
36 |
$2K |
| 0072A |
|
37 |
37 |
$1K |
| 96160 |
|
276 |
271 |
$902.07 |
| 96127 |
|
280 |
247 |
$869.30 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
19 |
17 |
$638.48 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
35 |
34 |
$637.23 |
| 90686 |
|
568 |
517 |
$279.00 |
| 99188 |
|
25 |
25 |
$269.62 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
23 |
12 |
$222.94 |
| 99000 |
|
62 |
61 |
$165.20 |
| 99173 |
|
68 |
68 |
$143.69 |
| 87807 |
|
16 |
16 |
$140.83 |
| 96161 |
|
37 |
36 |
$128.70 |
| 90656 |
|
26 |
26 |
$12.50 |