| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
709 |
658 |
$18K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
253 |
251 |
$13K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
191 |
190 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
194 |
187 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
52 |
51 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
303 |
298 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
212 |
211 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$651.84 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
28 |
28 |
$210.84 |
| 36415 |
Collection of venous blood by venipuncture |
15 |
14 |
$75.00 |
| 90633 |
|
58 |
58 |
$26.49 |
| 90671 |
|
104 |
103 |
$0.00 |
| 90710 |
|
14 |
14 |
$0.00 |
| 90697 |
|
69 |
68 |
$0.00 |