| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,588 |
1,368 |
$73K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
431 |
396 |
$6K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
278 |
255 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
59 |
54 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
52 |
49 |
$3K |
| 92552 |
|
230 |
208 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
141 |
133 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
23 |
19 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
83 |
80 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14 |
14 |
$885.56 |
| 99173 |
|
261 |
237 |
$332.91 |
| 90670 |
|
12 |
12 |
$0.00 |
| 90686 |
|
52 |
50 |
$0.00 |