| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
173 |
168 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
225 |
217 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
147 |
142 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
289 |
286 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
200 |
199 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
26 |
25 |
$2K |
| 90474 |
|
82 |
82 |
$764.24 |
| 90670 |
|
145 |
145 |
$367.04 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
18 |
18 |
$137.42 |
| 90685 |
|
34 |
34 |
$0.00 |
| 90698 |
|
101 |
101 |
$0.00 |
| 90680 |
|
82 |
82 |
$0.00 |
| 90744 |
|
53 |
53 |
$0.00 |
| 90686 |
|
40 |
40 |
$0.00 |