| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
843 |
787 |
$60K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
95 |
91 |
$10K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
24 |
24 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
268 |
264 |
$439.56 |
| 90686 |
|
51 |
50 |
$209.94 |
| 90474 |
|
14 |
14 |
$0.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
28 |
27 |
$0.00 |
| 90680 |
|
14 |
14 |
$0.00 |
| 90698 |
|
15 |
15 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
33 |
32 |
$0.00 |
| 90670 |
|
27 |
27 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
98 |
98 |
$0.00 |
| 99177 |
|
43 |
43 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$0.00 |