| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,584 |
7,950 |
$492K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
304 |
301 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
147 |
137 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
883 |
860 |
$12K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
76 |
67 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
24 |
24 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
64 |
63 |
$847.45 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
15 |
13 |
$724.56 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
36 |
36 |
$348.12 |
| 87807 |
|
12 |
12 |
$176.40 |
| 90461 |
|
67 |
65 |
$0.04 |