| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,213 |
1,100 |
$78K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
282 |
276 |
$28K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
259 |
251 |
$24K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
446 |
420 |
$18K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
123 |
120 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
45 |
42 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
27 |
27 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
203 |
196 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
113 |
108 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
40 |
38 |
$791.06 |
| 94760 |
|
380 |
359 |
$648.99 |
| 87430 |
|
18 |
18 |
$211.15 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
49 |
45 |
$182.06 |
| 87070 |
|
16 |
16 |
$131.52 |
| 99000 |
|
315 |
296 |
$0.27 |
| 99173 |
|
88 |
85 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 90670 |
|
26 |
26 |
$0.00 |