| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,230 |
2,971 |
$193K |
| 87428 |
|
671 |
631 |
$39K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
124 |
122 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
130 |
127 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
101 |
99 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
59 |
58 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
495 |
459 |
$5K |
| 99051 |
|
136 |
134 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
382 |
377 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
34 |
34 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
181 |
179 |
$3K |
| 99173 |
|
118 |
111 |
$873.86 |
| 96127 |
|
283 |
274 |
$721.37 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$703.90 |
| 81025 |
|
35 |
35 |
$168.71 |
| 87210 |
|
13 |
13 |
$44.98 |
| 81002 |
|
20 |
20 |
$41.08 |