| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,377 |
2,135 |
$101K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
599 |
593 |
$71K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
499 |
477 |
$55K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
147 |
147 |
$15K |
| 92553 |
|
1,648 |
1,581 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,231 |
1,186 |
$10K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
706 |
678 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,283 |
1,241 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
44 |
44 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
13 |
13 |
$19.86 |
| 90651 |
|
285 |
267 |
$0.00 |
| 90620 |
|
59 |
59 |
$0.00 |
| 90688 |
|
23 |
23 |
$0.00 |
| 90686 |
|
20 |
18 |
$0.00 |
| 90734 |
|
80 |
66 |
$0.00 |
| 90658 |
|
70 |
68 |
$0.00 |
| 90700 |
|
27 |
27 |
$0.00 |
| 90633 |
|
188 |
187 |
$0.00 |
| 90713 |
|
26 |
26 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |