| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,449 |
2,297 |
$86K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,359 |
3,346 |
$84K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,083 |
1,039 |
$51K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
538 |
536 |
$34K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
340 |
338 |
$21K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
157 |
157 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
57 |
57 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
320 |
318 |
$3K |
| 90661 |
|
96 |
96 |
$898.00 |
| 0071A |
|
12 |
12 |
$455.88 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
15 |
15 |
$335.70 |
| 99173 |
|
566 |
565 |
$228.03 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
58 |
58 |
$206.67 |
| 90686 |
|
793 |
793 |
$162.95 |
| 90461 |
|
27 |
27 |
$151.48 |
| 94760 |
|
741 |
708 |
$74.26 |
| 90688 |
|
56 |
56 |
$52.54 |
| 90671 |
|
25 |
25 |
$18.00 |
| 99080 |
|
38 |
38 |
$0.00 |
| 90670 |
|
13 |
13 |
$0.00 |
| 99499 |
|
40 |
40 |
$0.00 |
| 90685 |
|
12 |
12 |
$0.00 |
| 99000 |
|
402 |
381 |
$0.00 |
| 91307 |
|
43 |
41 |
$0.00 |
| 90698 |
|
12 |
12 |
$0.00 |
| 90697 |
|
13 |
13 |
$0.00 |
| 90680 |
|
13 |
13 |
$0.00 |