| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,365 |
2,765 |
$221K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
333 |
323 |
$35K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
319 |
304 |
$32K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,317 |
1,255 |
$32K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,822 |
1,709 |
$30K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
213 |
191 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
124 |
112 |
$11K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
459 |
445 |
$8K |
| 36416 |
|
1,131 |
1,087 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$2K |
| 96127 |
|
45 |
40 |
$720.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
60 |
52 |
$581.58 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
13 |
13 |
$251.90 |
| 90698 |
|
40 |
39 |
$0.00 |
| 90686 |
|
489 |
476 |
$0.00 |
| 90670 |
|
42 |
39 |
$0.00 |
| 90633 |
|
24 |
24 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
17 |
17 |
$0.00 |