| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,331 |
1,225 |
$53K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
160 |
154 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
43 |
41 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
17 |
17 |
$1K |
| 99460 |
|
12 |
12 |
$541.81 |
| 90686 |
|
47 |
45 |
$356.70 |
| 90633 |
|
19 |
18 |
$335.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
26 |
24 |
$296.86 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
18 |
14 |
$256.95 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
15 |
15 |
$168.19 |
| 90461 |
|
13 |
12 |
$31.50 |