| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,117 |
1,784 |
$93K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
220 |
205 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
710 |
654 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
978 |
703 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
92 |
92 |
$6K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
206 |
189 |
$4K |
| 92551 |
|
250 |
243 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
96 |
28 |
$577.72 |
| 99173 |
|
264 |
242 |
$411.45 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
12 |
$327.70 |
| 85018 |
|
13 |
13 |
$28.32 |
| 96127 |
|
12 |
12 |
$27.99 |
| 99401 |
|
19 |
18 |
$19.72 |
| 90686 |
|
15 |
15 |
$0.00 |
| 90648 |
|
12 |
12 |
$0.00 |
| 90670 |
|
12 |
12 |
$0.00 |
| 96160 |
|
165 |
145 |
$0.00 |
| 90658 |
|
15 |
15 |
$0.00 |