| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
501 |
441 |
$27K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
171 |
167 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
69 |
66 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
47 |
44 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
83 |
83 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
16 |
16 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
17 |
17 |
$677.36 |
| 99070 |
|
44 |
44 |
$613.80 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
13 |
12 |
$261.30 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
17 |
17 |
$148.29 |
| 97802 |
|
12 |
12 |
$75.12 |
| 81002 |
|
32 |
31 |
$46.26 |
| 94760 |
|
43 |
40 |
$32.59 |
| 90670 |
|
39 |
39 |
$0.00 |
| 99000 |
|
60 |
56 |
$0.00 |
| 90686 |
|
47 |
47 |
$0.00 |