| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,576 |
1,561 |
$79K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,203 |
1,181 |
$65K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,915 |
2,793 |
$64K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,157 |
1,150 |
$63K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,704 |
1,688 |
$39K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
432 |
414 |
$24K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
937 |
932 |
$13K |
| 90461 |
|
737 |
734 |
$13K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
415 |
414 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
26 |
26 |
$1K |
| 3008F |
|
2,467 |
2,437 |
$1K |
| 90686 |
|
67 |
67 |
$675.50 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
26 |
26 |
$50.06 |
| 86580 |
|
12 |
12 |
$48.88 |
| 99072 |
|
62 |
61 |
$0.00 |
| 90734 |
|
13 |
13 |
$0.00 |
| 99070 |
|
64 |
60 |
$0.00 |