| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,451 |
9,289 |
$587K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
994 |
934 |
$79K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,977 |
5,569 |
$70K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
838 |
802 |
$66K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
617 |
562 |
$48K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,126 |
1,966 |
$43K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
213 |
208 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
63 |
55 |
$5K |
| 90474 |
|
82 |
74 |
$1K |
| 87430 |
|
94 |
85 |
$550.90 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
30 |
14 |
$412.64 |
| 90473 |
|
30 |
25 |
$368.00 |
| 90686 |
|
1,429 |
1,332 |
$56.33 |
| 90656 |
|
85 |
85 |
$19.93 |
| 90670 |
|
233 |
208 |
$0.00 |
| 90685 |
|
218 |
211 |
$0.00 |
| 90672 |
|
34 |
26 |
$0.00 |
| 90744 |
|
14 |
12 |
$0.00 |
| 90680 |
|
84 |
76 |
$0.00 |
| 90698 |
|
105 |
93 |
$0.00 |
| 90651 |
|
13 |
13 |
$0.00 |