| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,383 |
9,107 |
$383K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,939 |
5,931 |
$169K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
635 |
635 |
$44K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
553 |
553 |
$37K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
326 |
318 |
$21K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
107 |
107 |
$8K |
| 0072A |
|
76 |
76 |
$3K |
| 0071A |
|
74 |
73 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
25 |
25 |
$2K |
| 99051 |
|
314 |
310 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
76 |
50 |
$970.67 |
| 90686 |
|
1,731 |
1,729 |
$642.74 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
103 |
103 |
$469.38 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
33 |
17 |
$465.10 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
54 |
53 |
$411.38 |
| 96127 |
|
119 |
119 |
$407.20 |
| 85018 |
|
79 |
79 |
$110.12 |
| 94760 |
|
314 |
307 |
$75.87 |
| 90661 |
|
34 |
34 |
$39.90 |
| 90672 |
|
43 |
43 |
$25.25 |
| 99173 |
|
37 |
37 |
$19.33 |
| 99072 |
|
72 |
71 |
$0.06 |
| 90674 |
|
146 |
146 |
$0.00 |