| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,296 |
1,494 |
$85K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
810 |
710 |
$47K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
174 |
174 |
$16K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
194 |
194 |
$15K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
87 |
87 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
63 |
63 |
$6K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
189 |
189 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
317 |
315 |
$3K |
| 99188 |
|
170 |
170 |
$3K |
| 92551 |
|
324 |
320 |
$2K |
| 99173 |
|
299 |
296 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
113 |
89 |
$596.02 |
| 90686 |
|
120 |
118 |
$522.95 |
| 96127 |
|
102 |
101 |
$336.84 |
| 90723 |
|
40 |
39 |
$264.00 |
| 90670 |
|
83 |
83 |
$250.00 |
| 96161 |
|
117 |
116 |
$117.16 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
16 |
16 |
$106.54 |