| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
880 |
806 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
335 |
327 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
222 |
212 |
$937.33 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
559 |
517 |
$935.97 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
259 |
258 |
$329.36 |
| 87070 |
|
543 |
501 |
$12.94 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
117 |
115 |
$0.00 |
| 90686 |
|
23 |
23 |
$0.00 |
| 90723 |
|
13 |
13 |
$0.00 |
| 90688 |
|
18 |
18 |
$0.00 |
| 90710 |
|
18 |
18 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
47 |
47 |
$0.00 |