| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,300 |
5,944 |
$301K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
796 |
743 |
$41K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,134 |
2,079 |
$40K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
379 |
378 |
$22K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
254 |
253 |
$14K |
| 92551 |
|
1,328 |
1,318 |
$13K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
751 |
747 |
$12K |
| 99401 |
|
1,591 |
1,575 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
254 |
250 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
58 |
58 |
$3K |
| 90686 |
|
383 |
382 |
$3K |
| 90461 |
|
183 |
179 |
$2K |
| 99173 |
|
1,420 |
1,412 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
106 |
99 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
13 |
$605.20 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
26 |
13 |
$349.36 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
16 |
16 |
$266.78 |
| 96127 |
|
66 |
65 |
$193.38 |
| 90656 |
|
14 |
14 |
$148.26 |
| 36416 |
|
12 |
12 |
$60.00 |
| 90654 |
|
58 |
58 |
$33.93 |
| 99072 |
|
1,035 |
884 |
$0.00 |