| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,354 |
3,043 |
$210K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,074 |
1,072 |
$98K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
905 |
905 |
$82K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
808 |
775 |
$69K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,527 |
1,521 |
$66K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
695 |
683 |
$64K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
371 |
371 |
$37K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
211 |
208 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
186 |
186 |
$3K |
| 99460 |
|
39 |
39 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
193 |
192 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
23 |
23 |
$1K |
| 99462 |
|
13 |
12 |
$482.82 |
| 90648 |
|
14 |
14 |
$0.00 |
| 90670 |
|
17 |
17 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |