| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,979 |
8,772 |
$371K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,970 |
2,591 |
$166K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,012 |
2,065 |
$55K |
| 92587 |
|
1,797 |
1,681 |
$31K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,667 |
2,338 |
$30K |
| 97802 |
|
683 |
637 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
707 |
298 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
107 |
102 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
116 |
115 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
685 |
540 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
195 |
180 |
$3K |
| 81002 |
|
1,305 |
1,219 |
$3K |
| 36416 |
|
1,202 |
1,141 |
$3K |
| 85018 |
|
1,218 |
1,152 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
33 |
25 |
$1K |
| 99173 |
|
532 |
512 |
$1K |
| 3008F |
|
191 |
188 |
$880.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
17 |
13 |
$488.30 |
| 96127 |
|
135 |
113 |
$414.86 |
| 90686 |
|
639 |
607 |
$172.17 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
20 |
13 |
$138.36 |
| 90688 |
|
163 |
152 |
$70.90 |
| 96160 |
|
13 |
12 |
$18.15 |
| 90461 |
|
132 |
109 |
$10.00 |
| 99000 |
|
929 |
864 |
$0.00 |
| 90670 |
|
16 |
14 |
$0.00 |