| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,336 |
5,810 |
$391K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,006 |
998 |
$97K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
582 |
549 |
$52K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
520 |
487 |
$48K |
| 87428 |
|
416 |
398 |
$29K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,668 |
1,648 |
$22K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
151 |
150 |
$16K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
877 |
401 |
$11K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,058 |
800 |
$11K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,027 |
726 |
$10K |
| 99000 |
|
296 |
281 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
184 |
175 |
$3K |
| 87081 |
|
57 |
54 |
$344.36 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
24 |
13 |
$333.60 |
| 90461 |
|
24 |
24 |
$142.45 |
| 90686 |
|
902 |
885 |
$67.39 |
| 90670 |
|
387 |
375 |
$0.00 |
| 90633 |
|
92 |
92 |
$0.00 |
| 99421 |
|
12 |
12 |
$0.00 |
| 90680 |
|
146 |
139 |
$0.00 |
| 90697 |
|
147 |
130 |
$0.00 |
| 90677 |
|
63 |
62 |
$0.00 |
| 90656 |
|
234 |
234 |
$0.00 |
| 90744 |
|
13 |
12 |
$0.00 |
| 90698 |
|
67 |
65 |
$0.00 |