| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,971 |
1,803 |
$111K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
743 |
743 |
$54K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
610 |
610 |
$46K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,702 |
2,583 |
$43K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
398 |
397 |
$28K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
363 |
362 |
$28K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
255 |
246 |
$22K |
| 81002 |
|
472 |
472 |
$904.88 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
35 |
35 |
$255.84 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
15 |
15 |
$202.73 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$51.61 |
| 90660 |
|
12 |
12 |
$0.07 |
| 90686 |
|
396 |
387 |
$0.02 |
| 90647 |
|
39 |
39 |
$0.00 |
| 90651 |
|
25 |
25 |
$0.00 |
| 90680 |
|
25 |
24 |
$0.00 |
| 90700 |
|
167 |
165 |
$0.00 |
| 90685 |
|
110 |
109 |
$0.00 |
| 90670 |
|
108 |
108 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 90713 |
|
39 |
38 |
$0.00 |