| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,429 |
1,198 |
$79K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
539 |
529 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
281 |
274 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
357 |
357 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
42 |
42 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
24 |
24 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
159 |
150 |
$2K |
| 85018 |
|
766 |
766 |
$2K |
| 85014 |
|
763 |
763 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15 |
15 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
101 |
101 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
51 |
51 |
$1K |
| 87081 |
|
103 |
99 |
$646.50 |
| 80061 |
Lipid panel |
53 |
53 |
$592.00 |
| 86328 |
|
12 |
12 |
$526.56 |
| 83655 |
|
36 |
36 |
$419.89 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
26 |
26 |
$308.36 |
| 90657 |
|
230 |
230 |
$1.97 |