| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
517 |
422 |
$25K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
46 |
45 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
113 |
101 |
$2K |
| 92587 |
|
55 |
54 |
$2K |
| 99173 |
|
66 |
65 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
60 |
50 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
24 |
23 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$930.40 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
17 |
15 |
$888.88 |
| 87807 |
|
19 |
17 |
$635.92 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15 |
13 |
$331.57 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
21 |
20 |
$150.91 |
| 90688 |
|
36 |
32 |
$145.81 |