| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,040 |
987 |
$64K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
352 |
339 |
$33K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
284 |
280 |
$30K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
242 |
242 |
$25K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
45 |
45 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
959 |
954 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
14 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
509 |
507 |
$1K |
| 99173 |
|
419 |
418 |
$1K |
| 90723 |
|
71 |
69 |
$656.89 |
| 90686 |
|
270 |
270 |
$288.55 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
102 |
101 |
$281.86 |
| 90461 |
|
29 |
29 |
$220.96 |
| 90648 |
|
172 |
171 |
$191.51 |
| 94760 |
|
217 |
204 |
$174.96 |
| 87081 |
|
45 |
45 |
$149.64 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
33 |
33 |
$110.48 |
| 90474 |
|
37 |
36 |
$0.00 |
| 99000 |
|
29 |
28 |
$0.00 |
| 90680 |
|
49 |
48 |
$0.00 |
| 90688 |
|
19 |
19 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| 90670 |
|
175 |
174 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
13 |
12 |
$0.00 |
| 90685 |
|
18 |
18 |
$0.00 |