| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,860 |
4,349 |
$213K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,297 |
1,270 |
$125K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
924 |
907 |
$92K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
582 |
537 |
$51K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
463 |
440 |
$27K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
216 |
212 |
$21K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,495 |
2,450 |
$6K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,922 |
1,885 |
$783.00 |
| 90688 |
|
14 |
14 |
$30.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
632 |
613 |
$20.27 |
| 90686 |
|
144 |
143 |
$10.00 |
| 90698 |
|
29 |
16 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
150 |
79 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
15 |
14 |
$0.00 |
| 90670 |
|
28 |
28 |
$0.00 |