| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,747 |
3,138 |
$124K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
974 |
888 |
$72K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
874 |
809 |
$70K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,984 |
2,435 |
$36K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
279 |
255 |
$20K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
410 |
384 |
$8K |
| 90461 |
|
381 |
302 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
229 |
202 |
$2K |
| 99429 |
|
53 |
51 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
91 |
43 |
$874.40 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
92 |
89 |
$714.72 |
| 90686 |
|
1,251 |
1,137 |
$657.47 |
| 90672 |
|
143 |
122 |
$26.59 |
| 90734 |
|
79 |
73 |
$14.00 |
| 90651 |
|
14 |
14 |
$0.00 |
| 90620 |
|
14 |
14 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| 90650 |
|
14 |
13 |
$0.00 |
| 90633 |
|
38 |
37 |
$0.00 |
| 90649 |
|
95 |
85 |
$0.00 |
| 90700 |
|
55 |
48 |
$0.00 |
| 90685 |
|
12 |
12 |
$0.00 |
| 90713 |
|
28 |
27 |
$0.00 |
| 90707 |
|
13 |
13 |
$0.00 |
| 90715 |
|
17 |
13 |
$0.00 |