| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,501 |
2,183 |
$146K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,628 |
1,519 |
$48K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
348 |
321 |
$30K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
316 |
313 |
$23K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
355 |
317 |
$23K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
993 |
926 |
$22K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
379 |
340 |
$21K |
| 92551 |
|
675 |
658 |
$20K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
623 |
582 |
$17K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
516 |
485 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
160 |
155 |
$12K |
| 90670 |
|
297 |
274 |
$4K |
| 90633 |
|
190 |
173 |
$4K |
| 90648 |
|
194 |
182 |
$3K |
| 90686 |
|
184 |
179 |
$2K |
| 90474 |
|
129 |
116 |
$2K |
| 90710 |
|
105 |
92 |
$2K |
| 90680 |
|
131 |
118 |
$1K |
| 90734 |
|
41 |
41 |
$1K |
| 90723 |
|
89 |
83 |
$683.59 |
| 90685 |
|
24 |
23 |
$436.47 |
| 90715 |
|
12 |
12 |
$294.52 |