| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,905 |
1,700 |
$107K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
355 |
317 |
$33K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
245 |
229 |
$23K |
| 90686 |
|
539 |
502 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
45 |
42 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,443 |
1,338 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
720 |
672 |
$2K |
| 99173 |
|
185 |
172 |
$2K |
| 90648 |
|
158 |
141 |
$516.49 |
| 90670 |
|
186 |
166 |
$296.18 |
| 90680 |
|
79 |
65 |
$226.04 |
| 90723 |
|
105 |
94 |
$222.51 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$221.24 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
16 |
16 |
$81.77 |