| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,599 |
4,856 |
$301K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,233 |
1,133 |
$104K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,811 |
2,705 |
$56K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
586 |
564 |
$49K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,341 |
2,209 |
$36K |
| 92587 |
|
977 |
939 |
$30K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
231 |
222 |
$20K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,300 |
1,260 |
$17K |
| 96127 |
|
829 |
786 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
114 |
99 |
$8K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
113 |
103 |
$7K |
| 99173 |
|
842 |
810 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
27 |
27 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
182 |
88 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
125 |
119 |
$1K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
33 |
30 |
$931.94 |
| 87634 |
|
12 |
12 |
$723.96 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
32 |
25 |
$325.20 |
| 36416 |
|
48 |
44 |
$131.04 |
| 90670 |
|
505 |
488 |
$0.00 |
| 90685 |
|
109 |
107 |
$0.00 |
| 90681 |
|
12 |
12 |
$0.00 |
| 90633 |
|
15 |
12 |
$0.00 |
| 90686 |
|
1,122 |
1,096 |
$0.00 |
| 90698 |
|
465 |
453 |
$0.00 |
| 85018 |
|
46 |
44 |
$0.00 |