| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,334 |
7,984 |
$682K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,125 |
2,599 |
$299K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,935 |
2,533 |
$97K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
853 |
747 |
$81K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,138 |
3,642 |
$64K |
| 96127 |
|
4,133 |
3,625 |
$64K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
643 |
558 |
$59K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
466 |
397 |
$40K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
900 |
847 |
$22K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
131 |
118 |
$14K |
| 99173 |
|
1,747 |
1,521 |
$11K |
| 99442 |
|
261 |
212 |
$10K |
| 69210 |
|
389 |
311 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
720 |
644 |
$7K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
396 |
378 |
$5K |
| 90474 |
|
211 |
169 |
$2K |
| 99050 |
|
132 |
115 |
$2K |
| 99441 |
|
31 |
27 |
$15.99 |
| 90662 |
|
26 |
14 |
$0.01 |
| 90686 |
|
1,598 |
1,462 |
$0.00 |
| 90674 |
|
182 |
174 |
$0.00 |
| 90698 |
|
100 |
82 |
$0.00 |
| 90461 |
|
1,003 |
859 |
$0.00 |
| 90670 |
|
327 |
271 |
$0.00 |
| 90661 |
|
95 |
95 |
$0.00 |
| 90681 |
|
15 |
14 |
$0.00 |
| 90734 |
|
16 |
14 |
$0.00 |
| 90633 |
|
25 |
24 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |