| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,789 |
5,889 |
$126K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
762 |
661 |
$42K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
598 |
541 |
$19K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,191 |
1,043 |
$17K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
343 |
336 |
$16K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
503 |
487 |
$14K |
| 90461 |
|
519 |
494 |
$1K |
| 86769 |
|
255 |
126 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
38 |
36 |
$944.49 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
164 |
160 |
$690.62 |
| 90716 |
|
13 |
13 |
$510.68 |
| 93000 |
|
132 |
132 |
$489.33 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
63 |
63 |
$460.00 |
| 90633 |
|
25 |
25 |
$341.66 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
193 |
187 |
$182.69 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
106 |
98 |
$80.76 |
| 90651 |
|
24 |
24 |
$0.00 |
| 92551 |
|
15 |
12 |
$0.00 |
| 87276 |
|
14 |
14 |
$0.00 |
| 99173 |
|
129 |
126 |
$0.00 |
| 90670 |
|
109 |
106 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
26 |
25 |
$0.00 |
| 87275 |
|
14 |
14 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |