| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,543 |
1,246 |
$75K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
78 |
75 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
62 |
57 |
$5K |
| 96160 |
|
263 |
251 |
$4K |
| 96161 |
|
252 |
236 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
242 |
229 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
244 |
228 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
30 |
27 |
$251.90 |
| 87276 |
|
17 |
16 |
$171.75 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
27 |
26 |
$167.70 |
| 90686 |
|
176 |
159 |
$0.03 |
| 90656 |
|
12 |
12 |
$0.00 |
| 90649 |
|
14 |
14 |
$0.00 |