| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,331 |
9,672 |
$439K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,807 |
1,759 |
$64K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
727 |
699 |
$47K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
240 |
234 |
$16K |
| 90461 |
|
804 |
782 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
193 |
186 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
110 |
105 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
302 |
293 |
$4K |
| 99051 |
|
673 |
623 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
22 |
12 |
$240.68 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$136.88 |
| 99177 |
|
18 |
15 |
$54.00 |
| 90686 |
|
570 |
537 |
$38.36 |
| 90670 |
|
304 |
288 |
$0.00 |
| 90707 |
|
16 |
13 |
$0.00 |
| 90647 |
|
80 |
76 |
$0.00 |
| 90723 |
|
74 |
66 |
$0.00 |
| 90680 |
|
29 |
27 |
$0.00 |