| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,247 |
4,654 |
$253K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
926 |
897 |
$60K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
736 |
736 |
$41K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
497 |
497 |
$29K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
467 |
465 |
$25K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,023 |
1,010 |
$18K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
242 |
240 |
$15K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,259 |
1,235 |
$14K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
905 |
871 |
$11K |
| 90461 |
|
382 |
378 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
194 |
193 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
24 |
24 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
88 |
85 |
$857.16 |
| 90686 |
|
41 |
41 |
$741.50 |
| 99173 |
|
222 |
221 |
$256.48 |
| 99000 |
|
1,310 |
1,282 |
$4.76 |
| 3008F |
|
1,105 |
1,105 |
$0.00 |
| 87070 |
|
1,203 |
1,175 |
$0.00 |