| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,264 |
6,430 |
$440K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
973 |
852 |
$41K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
943 |
846 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
64 |
61 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
271 |
253 |
$5K |
| 3008F |
|
878 |
799 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
42 |
40 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
363 |
152 |
$3K |
| 92551 |
|
130 |
122 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
31 |
28 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
15 |
12 |
$953.80 |
| 99173 |
|
141 |
131 |
$310.87 |
| 85018 |
|
13 |
13 |
$15.84 |
| 90686 |
|
609 |
553 |
$0.00 |
| 36416 |
|
180 |
159 |
$0.00 |