| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,828 |
3,392 |
$213K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
377 |
376 |
$29K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
243 |
239 |
$18K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
123 |
123 |
$10K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
643 |
641 |
$9K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
113 |
108 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
729 |
710 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
76 |
69 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
119 |
119 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
102 |
97 |
$1K |
| 99173 |
|
910 |
904 |
$0.00 |
| 90461 |
|
192 |
190 |
$0.00 |
| G9920 |
Screening performed and negative |
16 |
16 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
178 |
176 |
$0.00 |
| 99000 |
|
42 |
42 |
$0.00 |
| 90688 |
|
90 |
90 |
$0.00 |