| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,705 |
7,016 |
$555K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,164 |
2,164 |
$201K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,148 |
1,148 |
$107K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
667 |
667 |
$68K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
711 |
710 |
$62K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,412 |
3,398 |
$62K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,599 |
1,577 |
$38K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
172 |
172 |
$17K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
83 |
83 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
288 |
284 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
83 |
82 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
39 |
39 |
$573.30 |
| 99442 |
|
14 |
14 |
$346.50 |
| 87807 |
|
23 |
23 |
$267.95 |
| 90686 |
|
1,356 |
1,356 |
$0.01 |
| 90656 |
|
13 |
13 |
$0.00 |
| 96160 |
|
3,335 |
3,331 |
$0.00 |
| 90670 |
|
207 |
207 |
$0.00 |
| 90710 |
|
13 |
13 |
$0.00 |