| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
487 |
408 |
$22K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
183 |
172 |
$15K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
160 |
152 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
226 |
206 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
73 |
66 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
533 |
491 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
38 |
36 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
186 |
167 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
36 |
27 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
70 |
29 |
$872.12 |
| 90473 |
|
32 |
25 |
$326.10 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
33 |
28 |
$312.64 |
| 81003 |
|
31 |
28 |
$54.52 |
| 90686 |
|
187 |
183 |
$16.87 |
| 90672 |
|
43 |
30 |
$0.00 |
| 90670 |
|
13 |
12 |
$0.00 |