| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
372 |
337 |
$25K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
198 |
197 |
$20K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
174 |
165 |
$17K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
99 |
95 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
75 |
74 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
298 |
282 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
32 |
31 |
$348.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
16 |
15 |
$233.86 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$174.54 |
| 90686 |
|
101 |
97 |
$0.00 |
| 90651 |
|
13 |
13 |
$0.00 |
| 90648 |
|
24 |
24 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
124 |
124 |
$0.00 |
| 90685 |
|
18 |
18 |
$0.00 |
| 90670 |
|
40 |
40 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |