| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,528 |
1,257 |
$20K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
184 |
179 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
92 |
90 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
483 |
433 |
$5K |
| 92551 |
|
726 |
676 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
56 |
52 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
229 |
202 |
$2K |
| 99173 |
|
764 |
707 |
$851.35 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
32 |
29 |
$647.39 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
46 |
44 |
$425.25 |
| 85018 |
|
113 |
83 |
$145.53 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
17 |
15 |
$122.85 |
| 81002 |
|
17 |
17 |
$28.42 |
| 90634 |
|
31 |
13 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
23 |
12 |
$0.00 |
| 90649 |
|
15 |
15 |
$0.00 |