| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
935 |
850 |
$51K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
370 |
334 |
$15K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
344 |
335 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
100 |
94 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
213 |
213 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
39 |
37 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
177 |
172 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
43 |
38 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
29 |
27 |
$2K |
| 92568 |
|
204 |
204 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
53 |
47 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
20 |
15 |
$820.12 |
| 92567 |
|
59 |
58 |
$531.24 |
| 81000 |
|
211 |
208 |
$368.96 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
32 |
32 |
$334.34 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
27 |
26 |
$240.19 |
| 90461 |
|
12 |
12 |
$140.00 |
| 99173 |
|
33 |
33 |
$77.99 |
| 96127 |
|
26 |
26 |
$54.78 |
| 94760 |
|
30 |
28 |
$13.04 |