| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,223 |
1,003 |
$48K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
631 |
464 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
105 |
89 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
125 |
77 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
240 |
178 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
43 |
27 |
$2K |
| 99401 |
|
157 |
70 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
38 |
26 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
50 |
45 |
$789.72 |
| 3008F |
|
263 |
140 |
$767.15 |
| 99462 |
|
18 |
12 |
$252.78 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
17 |
13 |
$122.61 |
| 90686 |
|
25 |
22 |
$66.75 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
157 |
70 |
$0.00 |
| 90648 |
|
14 |
12 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
58 |
51 |
$0.00 |
| 90670 |
|
18 |
12 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
27 |
12 |
$0.00 |