| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,542 |
5,194 |
$174K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
158 |
149 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
142 |
132 |
$6K |
| 90686 |
|
688 |
677 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
119 |
97 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
24 |
24 |
$2K |
| 92551 |
|
328 |
311 |
$2K |
| 99173 |
|
407 |
382 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
37 |
36 |
$1K |
| 90656 |
|
260 |
258 |
$792.69 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
87 |
61 |
$690.36 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
99 |
96 |
$634.27 |
| 96127 |
|
28 |
27 |
$77.62 |
| 3008F |
|
189 |
172 |
$37.80 |