| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
865 |
774 |
$35K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
213 |
210 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
41 |
40 |
$3K |
| 90670 |
|
14 |
14 |
$2K |
| 90461 |
|
64 |
64 |
$1K |
| 90723 |
|
12 |
12 |
$796.32 |
| 90688 |
|
39 |
38 |
$577.56 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
32 |
30 |
$431.10 |
| 90648 |
|
12 |
12 |
$306.71 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
15 |
14 |
$258.82 |