| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,399 |
3,002 |
$149K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
397 |
396 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
64 |
64 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
156 |
149 |
$3K |
| 99050 |
|
262 |
247 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
27 |
27 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
27 |
27 |
$2K |
| 90686 |
|
299 |
299 |
$1K |
| 90461 |
|
150 |
148 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$775.32 |
| 81000 |
|
422 |
421 |
$739.99 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
67 |
37 |
$622.77 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
75 |
73 |
$579.40 |
| 92587 |
|
13 |
13 |
$195.00 |
| 87070 |
|
33 |
31 |
$162.28 |
| 99173 |
|
29 |
29 |
$47.46 |