| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
981 |
822 |
$37K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
220 |
149 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
698 |
384 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
130 |
127 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
125 |
114 |
$10K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
301 |
230 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
473 |
375 |
$4K |
| 92551 |
|
243 |
229 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
132 |
124 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
15 |
$1K |
| 85018 |
|
116 |
50 |
$308.52 |
| 81002 |
|
147 |
63 |
$213.93 |
| 90474 |
|
26 |
26 |
$207.84 |
| 36416 |
|
116 |
50 |
$181.74 |
| 90633 |
|
116 |
57 |
$0.00 |
| 90670 |
|
106 |
90 |
$0.00 |
| 90648 |
|
106 |
90 |
$0.00 |
| 90685 |
|
13 |
13 |
$0.00 |
| 90651 |
|
13 |
12 |
$0.00 |
| 90723 |
|
77 |
61 |
$0.00 |
| 90688 |
|
15 |
15 |
$0.00 |
| 90686 |
|
74 |
67 |
$0.00 |