| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
866 |
708 |
$37K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
126 |
107 |
$7K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
166 |
160 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
224 |
217 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
44 |
43 |
$3K |
| 92552 |
|
192 |
190 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
63 |
57 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
20 |
20 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
193 |
185 |
$720.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$704.59 |
| 81002 |
|
213 |
206 |
$420.00 |
| 90658 |
|
44 |
44 |
$0.00 |