| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,052 |
1,877 |
$91K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,857 |
1,290 |
$45K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
570 |
535 |
$38K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,641 |
1,613 |
$14K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
201 |
201 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
483 |
471 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
92 |
92 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
97 |
84 |
$5K |
| 81002 |
|
710 |
690 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
101 |
100 |
$1K |
| 92551 |
|
187 |
186 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$860.34 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
38 |
37 |
$683.12 |
| 85018 |
|
216 |
216 |
$504.23 |
| 99173 |
|
144 |
144 |
$331.99 |
| 36416 |
|
225 |
225 |
$312.24 |
| 96127 |
|
42 |
42 |
$204.13 |
| 90686 |
|
227 |
224 |
$92.98 |
| 90685 |
|
102 |
102 |
$47.25 |
| 99000 |
|
576 |
560 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 94760 |
|
12 |
12 |
$0.00 |
| 90670 |
|
26 |
25 |
$0.00 |
| 90710 |
|
14 |
14 |
$0.00 |
| 90648 |
|
50 |
49 |
$0.00 |