| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,146 |
3,733 |
$125K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
791 |
755 |
$55K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
423 |
400 |
$30K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,346 |
537 |
$17K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,554 |
742 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
991 |
926 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
98 |
96 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
215 |
106 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
210 |
201 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
33 |
33 |
$2K |
| 90474 |
|
191 |
179 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
27 |
27 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
24 |
21 |
$844.89 |
| 90461 |
|
347 |
311 |
$602.59 |
| 90680 |
|
294 |
288 |
$0.00 |
| 90723 |
|
368 |
353 |
$0.00 |
| 90686 |
|
22 |
18 |
$0.00 |
| 90648 |
|
676 |
648 |
$0.00 |
| 90670 |
|
666 |
631 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 90633 |
|
16 |
16 |
$0.00 |