| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
999 |
932 |
$37K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
388 |
385 |
$31K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
292 |
292 |
$23K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,914 |
781 |
$15K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
183 |
182 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
164 |
163 |
$14K |
| 90461 |
|
504 |
429 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
416 |
281 |
$3K |
| 92551 |
|
305 |
305 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
180 |
178 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
298 |
297 |
$2K |
| 99381 |
|
12 |
12 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
50 |
25 |
$695.00 |
| 96160 |
|
179 |
176 |
$432.63 |
| 90670 |
|
226 |
226 |
$0.09 |
| 90686 |
|
529 |
528 |
$0.00 |
| 36416 |
|
110 |
109 |
$0.00 |
| 90651 |
|
67 |
67 |
$0.00 |
| 90680 |
|
99 |
99 |
$0.00 |
| 90744 |
|
33 |
33 |
$0.00 |
| 90698 |
|
151 |
151 |
$0.00 |
| 90620 |
|
12 |
12 |
$0.00 |
| 99173 |
|
417 |
416 |
$0.00 |
| 90633 |
|
75 |
75 |
$0.00 |
| 90734 |
|
29 |
29 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |