| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,281 |
3,906 |
$249K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,240 |
1,201 |
$17K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
223 |
223 |
$15K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
151 |
151 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
37 |
37 |
$2K |
| 99442 |
|
80 |
70 |
$2K |
| 99173 |
|
588 |
588 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
50 |
24 |
$588.18 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
51 |
49 |
$418.65 |
| 90686 |
|
16 |
16 |
$173.64 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$85.01 |