| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
946 |
868 |
$48K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
206 |
205 |
$17K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
88 |
88 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
345 |
339 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
46 |
44 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
530 |
525 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
82 |
81 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
52 |
51 |
$552.90 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
17 |
17 |
$251.35 |
| 90686 |
|
25 |
25 |
$246.43 |
| 90685 |
|
15 |
15 |
$125.39 |
| 92551 |
|
19 |
19 |
$120.63 |
| 96160 |
|
12 |
12 |
$16.07 |
| 99000 |
|
29 |
29 |
$0.00 |