| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
376 |
355 |
$21K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
164 |
153 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
154 |
141 |
$12K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
43 |
43 |
$3K |
| 90670 |
|
79 |
77 |
$2K |
| 90648 |
|
92 |
88 |
$1K |
| 90686 |
|
62 |
59 |
$752.79 |
| 90723 |
|
55 |
54 |
$745.30 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
202 |
185 |
$333.48 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
14 |
$194.04 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
113 |
109 |
$182.30 |