| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,268 |
14,767 |
$852K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,550 |
1,534 |
$78K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,340 |
1,332 |
$70K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,170 |
1,135 |
$58K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,024 |
3,873 |
$47K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
743 |
739 |
$40K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
679 |
667 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
904 |
433 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
542 |
520 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
616 |
449 |
$7K |
| 90461 |
|
474 |
443 |
$6K |
| 99442 |
|
580 |
534 |
$5K |
| 90670 |
|
114 |
114 |
$3K |
| 90619 |
|
18 |
18 |
$2K |
| 90686 |
|
281 |
276 |
$2K |
| 92551 |
|
147 |
146 |
$2K |
| 90734 |
|
24 |
24 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
38 |
38 |
$1K |
| 90707 |
|
72 |
72 |
$1K |
| 99173 |
|
1,786 |
1,764 |
$1K |
| 90716 |
|
40 |
40 |
$781.18 |
| 90744 |
|
100 |
99 |
$402.12 |
| 90715 |
|
15 |
15 |
$150.56 |
| 90700 |
|
16 |
16 |
$141.92 |
| 90696 |
|
12 |
12 |
$61.13 |
| 97803 |
|
233 |
232 |
$6.92 |
| 81002 |
|
12 |
12 |
$0.00 |
| 90698 |
|
12 |
12 |
$0.00 |