| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
833 |
782 |
$55K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
76 |
70 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
299 |
294 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
189 |
184 |
$566.70 |
| 99177 |
|
30 |
30 |
$236.40 |
| 90686 |
|
18 |
17 |
$43.56 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
57 |
57 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$0.00 |
| 90670 |
|
26 |
26 |
$0.00 |
| 99051 |
|
28 |
26 |
$0.00 |
| 90698 |
|
12 |
12 |
$0.00 |