| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,770 |
3,333 |
$134K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
479 |
473 |
$42K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
838 |
782 |
$40K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
445 |
443 |
$36K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
427 |
424 |
$33K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,619 |
1,506 |
$21K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
277 |
262 |
$20K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,140 |
1,212 |
$17K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
692 |
341 |
$10K |
| 90461 |
|
665 |
576 |
$5K |
| 90649 |
|
26 |
25 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
99 |
99 |
$713.05 |
| 90734 |
|
104 |
104 |
$405.46 |
| 90670 |
|
184 |
184 |
$210.00 |
| 90715 |
|
39 |
38 |
$89.98 |
| 90716 |
|
64 |
63 |
$0.00 |
| 90688 |
|
99 |
96 |
$0.00 |
| 90698 |
|
13 |
13 |
$0.00 |
| 90707 |
|
83 |
83 |
$0.00 |
| 90700 |
|
61 |
61 |
$0.00 |
| 90633 |
|
14 |
14 |
$0.00 |
| 90648 |
|
33 |
33 |
$0.00 |