| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,023 |
12,982 |
$759K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,226 |
6,096 |
$266K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,391 |
2,211 |
$178K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,738 |
1,720 |
$150K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
594 |
589 |
$49K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
875 |
832 |
$18K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
193 |
189 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
396 |
387 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
418 |
410 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
128 |
125 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
285 |
266 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
47 |
46 |
$668.71 |
| 90723 |
|
629 |
622 |
$0.00 |
| 90647 |
|
504 |
499 |
$0.00 |
| 90686 |
|
1,249 |
1,239 |
$0.00 |
| 90680 |
|
345 |
344 |
$0.00 |
| 90651 |
|
33 |
31 |
$0.00 |
| 90688 |
|
24 |
24 |
$0.00 |
| 90474 |
|
28 |
28 |
$0.00 |
| 90696 |
|
13 |
13 |
$0.00 |
| 90633 |
|
216 |
215 |
$0.00 |
| 90670 |
|
1,201 |
1,182 |
$0.00 |
| 90710 |
|
75 |
73 |
$0.00 |
| 90734 |
|
43 |
42 |
$0.00 |
| 90685 |
|
16 |
12 |
$0.00 |
| 99173 |
|
16 |
15 |
$0.00 |