| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,076 |
969 |
$26K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
165 |
165 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
235 |
224 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
94 |
92 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
82 |
77 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
42 |
41 |
$2K |
| 3008F |
|
388 |
386 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
158 |
156 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
137 |
132 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
46 |
46 |
$698.10 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
49 |
44 |
$584.04 |
| 90461 |
|
15 |
13 |
$190.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
54 |
54 |
$130.86 |