| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,222 |
933 |
$37K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
344 |
288 |
$4K |
| 92552 |
|
185 |
159 |
$3K |
| 96127 |
|
770 |
314 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
206 |
139 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
17 |
16 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
66 |
54 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
16 |
15 |
$1K |
| 99173 |
|
210 |
177 |
$956.17 |
| 1111F |
|
598 |
510 |
$910.01 |
| 96160 |
|
56 |
55 |
$787.15 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
21 |
12 |
$721.54 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
63 |
53 |
$643.02 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
77 |
23 |
$404.32 |
| 3008F |
|
683 |
583 |
$260.01 |
| 36415 |
Collection of venous blood by venipuncture |
40 |
38 |
$32.53 |
| 90688 |
|
48 |
41 |
$0.00 |
| 90686 |
|
56 |
56 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
83 |
75 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
110 |
94 |
$0.00 |