| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,371 |
1,274 |
$104K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
503 |
459 |
$31K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
137 |
133 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
225 |
191 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
208 |
178 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
114 |
108 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$989.76 |
| 99050 |
|
20 |
17 |
$759.81 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
85 |
84 |
$680.00 |
| 96127 |
|
120 |
62 |
$483.70 |
| 92588 |
|
12 |
12 |
$356.64 |
| 90461 |
|
12 |
12 |
$306.20 |
| 99177 |
|
56 |
43 |
$137.17 |
| 99174 |
|
17 |
13 |
$134.51 |
| 90686 |
|
252 |
115 |
$126.00 |
| 96160 |
|
17 |
14 |
$34.32 |