| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,358 |
1,240 |
$100K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
152 |
140 |
$16K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
295 |
282 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
406 |
390 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
67 |
66 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
37 |
36 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
353 |
334 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
20 |
16 |
$959.40 |
| 92551 |
|
31 |
30 |
$300.00 |
| 83655 |
|
17 |
15 |
$217.50 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$192.48 |
| 85018 |
|
51 |
50 |
$145.33 |
| 90670 |
|
30 |
29 |
$0.00 |
| 90686 |
|
180 |
179 |
$0.00 |
| 90647 |
|
28 |
27 |
$0.00 |