| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
539 |
494 |
$56K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
668 |
629 |
$45K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
146 |
140 |
$15K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
463 |
392 |
$539.40 |
| 90698 |
|
260 |
254 |
$447.25 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
502 |
493 |
$442.11 |
| 90680 |
|
166 |
165 |
$202.51 |
| 90686 |
|
87 |
84 |
$190.80 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
54 |
53 |
$110.48 |
| 99051 |
|
14 |
14 |
$102.46 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
346 |
340 |
$87.12 |
| 90670 |
|
286 |
283 |
$0.00 |
| 99177 |
|
82 |
81 |
$0.00 |
| 90461 |
|
48 |
47 |
$0.00 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
12 |
12 |
$0.00 |
| 90474 |
|
133 |
132 |
$0.00 |
| 90744 |
|
36 |
36 |
$0.00 |
| 36416 |
|
12 |
12 |
$0.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
15 |
15 |
$0.00 |