| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
397 |
388 |
$15K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
53 |
53 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
46 |
46 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
496 |
496 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
89 |
89 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17 |
17 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$954.12 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$388.95 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$119.04 |
| 99173 |
|
348 |
327 |
$0.00 |
| 90670 |
|
12 |
12 |
$0.00 |
| 3078F |
|
15 |
15 |
$0.00 |
| 90686 |
|
60 |
60 |
$0.00 |
| 3008F |
|
1,114 |
1,036 |
$0.00 |
| 90674 |
|
47 |
47 |
$0.00 |
| 92551 |
|
268 |
253 |
$0.00 |
| 3074F |
|
14 |
14 |
$0.00 |
| 1036F |
|
12 |
12 |
$0.00 |
| 1000F |
|
35 |
28 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
26 |
26 |
$0.00 |
| 90651 |
|
13 |
13 |
$0.00 |