| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
778 |
707 |
$49K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
209 |
189 |
$18K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
96 |
93 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
84 |
80 |
$7K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
188 |
174 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
98 |
93 |
$4K |
| 87276 |
|
159 |
147 |
$2K |
| 87275 |
|
164 |
148 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
126 |
115 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
80 |
37 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
98 |
97 |
$970.00 |
| 90473 |
|
19 |
19 |
$190.00 |
| 92551 |
|
20 |
20 |
$175.20 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
16 |
15 |
$99.28 |
| 99173 |
|
18 |
18 |
$35.55 |
| 90698 |
|
67 |
63 |
$0.00 |
| 90680 |
|
19 |
19 |
$0.00 |
| 90744 |
|
16 |
16 |
$0.00 |
| 90670 |
|
80 |
76 |
$0.00 |