| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
566 |
526 |
$41K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
65 |
65 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
19 |
17 |
$1K |
| 90686 |
|
163 |
162 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
684 |
679 |
$907.66 |
| 99173 |
|
201 |
200 |
$846.38 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
218 |
216 |
$146.29 |
| 99072 |
|
73 |
71 |
$0.00 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
12 |
12 |
$0.00 |
| 81002 |
|
21 |
19 |
$0.00 |