| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,437 |
2,443 |
$182K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,021 |
820 |
$28K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
128 |
128 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
484 |
455 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
342 |
333 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
29 |
29 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
29 |
29 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
25 |
25 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
97 |
97 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
111 |
111 |
$1K |
| 99177 |
|
100 |
100 |
$820.50 |
| 92558 |
|
169 |
169 |
$773.31 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
177 |
171 |
$647.97 |
| 81000 |
|
365 |
360 |
$507.08 |
| 90686 |
|
32 |
32 |
$303.47 |
| 96127 |
|
74 |
74 |
$163.74 |
| 99173 |
|
76 |
76 |
$155.65 |
| 81002 |
|
12 |
12 |
$3.09 |