| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
381 |
370 |
$35K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
129 |
128 |
$17K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
194 |
123 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
194 |
194 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
38 |
38 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
27 |
27 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
153 |
151 |
$3K |
| 96127 |
|
121 |
120 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
37 |
37 |
$847.02 |
| 87081 |
|
63 |
62 |
$519.56 |