| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,515 |
2,925 |
$254K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,115 |
1,731 |
$148K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,269 |
1,205 |
$24K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
223 |
221 |
$20K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,661 |
1,491 |
$16K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,030 |
919 |
$13K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
111 |
108 |
$10K |
| 90461 |
|
194 |
193 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
40 |
40 |
$4K |
| 90688 |
|
198 |
156 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
163 |
148 |
$2K |
| 81002 |
|
747 |
713 |
$2K |
| 90686 |
|
756 |
735 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
13 |
$1K |
| 90670 |
|
13 |
13 |
$900.00 |
| 90674 |
|
23 |
23 |
$553.77 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
25 |
25 |
$205.34 |
| 96127 |
|
13 |
13 |
$37.18 |