| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,380 |
3,000 |
$106K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,941 |
1,786 |
$25K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,483 |
655 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
127 |
126 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
202 |
196 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
57 |
57 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
37 |
37 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
358 |
310 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
44 |
42 |
$2K |
| 90461 |
|
295 |
217 |
$1K |
| 99000 |
|
107 |
102 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
17 |
16 |
$792.96 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
15 |
12 |
$622.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
14 |
$345.96 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
24 |
24 |
$243.40 |
| 87807 |
|
15 |
14 |
$165.00 |
| 90686 |
|
101 |
100 |
$0.01 |
| 90651 |
|
22 |
22 |
$0.01 |
| 90734 |
|
26 |
26 |
$0.00 |
| 90710 |
|
39 |
39 |
$0.00 |
| 90670 |
|
12 |
12 |
$0.00 |
| 90656 |
|
16 |
16 |
$0.00 |