| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,651 |
2,273 |
$81K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
596 |
537 |
$33K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
360 |
351 |
$25K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
232 |
228 |
$14K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
717 |
670 |
$11K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
280 |
256 |
$9K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
357 |
338 |
$6K |
| 99174 |
|
231 |
224 |
$4K |
| 90461 |
|
130 |
114 |
$3K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
26 |
26 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
299 |
247 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
32 |
31 |
$2K |
| 90670 |
|
329 |
299 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
76 |
66 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$805.20 |
| 90473 |
|
40 |
38 |
$468.00 |
| 90723 |
|
125 |
108 |
$372.00 |
| 92551 |
|
19 |
19 |
$192.00 |
| 90648 |
|
284 |
260 |
$157.26 |
| 90686 |
|
126 |
118 |
$58.23 |
| 99173 |
|
15 |
12 |
$30.00 |
| 85018 |
|
14 |
14 |
$28.44 |
| 90672 |
|
39 |
38 |
$24.60 |
| 90633 |
|
70 |
66 |
$0.00 |
| 90710 |
|
13 |
13 |
$0.00 |