| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,198 |
8,281 |
$406K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,718 |
4,590 |
$85K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,559 |
1,540 |
$80K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,186 |
1,162 |
$63K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
893 |
886 |
$44K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
487 |
481 |
$31K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,501 |
1,441 |
$20K |
| 90461 |
|
1,231 |
1,201 |
$16K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
330 |
328 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
732 |
706 |
$8K |
| 90686 |
|
1,113 |
1,060 |
$8K |
| 99173 |
|
2,440 |
2,385 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
406 |
403 |
$5K |
| 90619 |
|
45 |
44 |
$5K |
| 90651 |
|
62 |
62 |
$5K |
| 90474 |
|
131 |
131 |
$1K |
| 90734 |
|
28 |
28 |
$873.06 |
| 90661 |
|
73 |
72 |
$490.92 |
| 90656 |
|
33 |
33 |
$470.62 |
| 90716 |
|
24 |
24 |
$465.96 |
| 90672 |
|
41 |
34 |
$412.08 |
| 90688 |
|
12 |
12 |
$230.29 |
| 90715 |
|
28 |
27 |
$153.37 |
| 90633 |
|
27 |
27 |
$113.03 |
| 90707 |
|
25 |
25 |
$82.50 |
| 99072 |
|
529 |
502 |
$0.00 |
| 90648 |
|
12 |
12 |
$0.00 |