| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,523 |
1,255 |
$81K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
468 |
445 |
$36K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
504 |
489 |
$28K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
64 |
61 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
283 |
128 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
103 |
97 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
43 |
42 |
$802.53 |
| 90670 |
|
188 |
181 |
$0.00 |
| 99177 |
|
15 |
13 |
$0.00 |
| 90685 |
|
18 |
17 |
$0.00 |
| 90680 |
|
94 |
89 |
$0.00 |
| 90686 |
|
122 |
115 |
$0.00 |
| 90698 |
|
110 |
105 |
$0.00 |
| 92558 |
|
16 |
14 |
$0.00 |