| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,077 |
3,726 |
$48K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,698 |
1,636 |
$34K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
493 |
493 |
$23K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
476 |
474 |
$22K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
855 |
809 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
219 |
219 |
$8K |
| 90461 |
|
528 |
513 |
$6K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
195 |
176 |
$3K |
| 3008F |
|
1,983 |
1,956 |
$3K |
| 90686 |
|
188 |
186 |
$2K |
| 99173 |
|
1,058 |
1,058 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
27 |
27 |
$931.61 |
| 97802 |
|
866 |
865 |
$540.00 |
| 90651 |
|
14 |
14 |
$507.20 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
610 |
601 |
$492.84 |
| 90707 |
|
12 |
12 |
$11.50 |
| 90734 |
|
16 |
16 |
$0.00 |