| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,291 |
3,841 |
$304K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
807 |
794 |
$80K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
435 |
422 |
$38K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
427 |
407 |
$38K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
371 |
371 |
$38K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,884 |
1,859 |
$34K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,032 |
1,019 |
$20K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
74 |
73 |
$8K |
| 90473 |
|
203 |
203 |
$3K |
| 90474 |
|
36 |
36 |
$434.88 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
27 |
27 |
$366.60 |
| 90655 |
|
33 |
33 |
$15.80 |
| 90686 |
|
298 |
298 |
$6.78 |
| 90672 |
|
206 |
206 |
$1.94 |
| 90670 |
|
128 |
126 |
$1.25 |
| 90656 |
|
106 |
104 |
$1.00 |
| 90723 |
|
39 |
39 |
$0.39 |
| 90647 |
|
36 |
36 |
$0.36 |
| 90680 |
|
24 |
24 |
$0.24 |
| 90633 |
|
15 |
15 |
$0.15 |
| 90677 |
|
14 |
14 |
$0.14 |