| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
715 |
664 |
$40K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
205 |
189 |
$15K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
62 |
62 |
$5K |
| 90670 |
|
102 |
101 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
164 |
163 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
25 |
25 |
$2K |
| 90686 |
|
143 |
140 |
$2K |
| 90648 |
|
78 |
78 |
$992.69 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
71 |
70 |
$991.65 |
| 90723 |
|
27 |
27 |
$372.65 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
54 |
52 |
$155.19 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
13 |
$34.65 |