| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,198 |
12,373 |
$2.56M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,637 |
9,182 |
$1.71M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
899 |
845 |
$194K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
863 |
861 |
$179K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
351 |
351 |
$74K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
202 |
202 |
$43K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
32 |
31 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,154 |
1,152 |
$1K |
| 96127 |
|
159 |
149 |
$446.00 |
| 96161 |
|
175 |
169 |
$223.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
100 |
68 |
$223.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
327 |
327 |
$222.32 |
| T1015 |
Clinic visit/encounter, all-inclusive |
153 |
148 |
$214.18 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
688 |
687 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
12 |
$0.00 |
| 99173 |
|
65 |
65 |
$0.00 |
| 90671 |
|
121 |
121 |
$0.00 |
| 96160 |
|
66 |
66 |
$0.00 |
| 90680 |
|
29 |
29 |
$0.00 |
| 90723 |
|
33 |
33 |
$0.00 |
| 90647 |
|
62 |
62 |
$0.00 |
| 90474 |
|
109 |
109 |
$0.00 |
| 90619 |
|
12 |
12 |
$0.00 |
| 36416 |
|
45 |
44 |
$0.00 |
| 90686 |
|
15 |
15 |
$0.00 |