| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,837 |
2,820 |
$232K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
229 |
228 |
$17K |
| 69210 |
|
705 |
564 |
$16K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
155 |
153 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,231 |
1,154 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
138 |
130 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
145 |
112 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
58 |
53 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
409 |
285 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
58 |
40 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
34 |
33 |
$424.39 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
20 |
20 |
$280.00 |
| 90688 |
|
102 |
101 |
$19.91 |
| 90698 |
|
24 |
24 |
$0.00 |
| 90461 |
|
13 |
13 |
$0.00 |