| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,407 |
1,389 |
$32K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,396 |
1,316 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,927 |
2,703 |
$18K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
387 |
384 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
178 |
174 |
$6K |
| 90461 |
|
346 |
342 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
123 |
121 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
121 |
116 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
345 |
341 |
$2K |
| 92552 |
|
429 |
429 |
$2K |
| 90658 |
|
281 |
281 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
56 |
56 |
$871.32 |
| 99173 |
|
933 |
930 |
$410.05 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
117 |
115 |
$299.40 |
| 86580 |
|
46 |
45 |
$148.32 |