| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,968 |
3,559 |
$296K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,043 |
1,021 |
$90K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
938 |
921 |
$84K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
670 |
624 |
$47K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
355 |
347 |
$34K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,264 |
2,187 |
$20K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,380 |
1,319 |
$20K |
| 87428 |
|
329 |
318 |
$17K |
| 99177 |
|
1,110 |
1,094 |
$5K |
| 92551 |
|
552 |
528 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
295 |
289 |
$3K |
| 90474 |
|
63 |
59 |
$539.20 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
52 |
47 |
$407.74 |
| 90480 |
|
13 |
13 |
$308.72 |
| 99173 |
|
67 |
52 |
$125.83 |
| 87807 |
|
15 |
14 |
$124.47 |
| 90686 |
|
16 |
16 |
$7.00 |