| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,369 |
2,219 |
$334K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
929 |
929 |
$155K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
780 |
777 |
$124K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
649 |
649 |
$105K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,591 |
1,578 |
$56K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
214 |
213 |
$37K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
244 |
242 |
$22K |
| 90474 |
|
409 |
409 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
163 |
162 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
15 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
199 |
198 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
80 |
79 |
$1K |
| 90473 |
|
36 |
36 |
$660.24 |
| 90672 |
|
66 |
66 |
$25.16 |
| 90697 |
|
329 |
329 |
$0.00 |
| 90686 |
|
437 |
437 |
$0.00 |
| 90680 |
|
401 |
401 |
$0.00 |
| 90656 |
|
46 |
46 |
$0.00 |
| 90647 |
|
115 |
115 |
$0.00 |
| 90651 |
|
14 |
14 |
$0.00 |
| 90723 |
|
92 |
92 |
$0.00 |
| 90716 |
|
13 |
13 |
$0.00 |
| 90670 |
|
430 |
430 |
$0.00 |
| 90633 |
|
297 |
297 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 90671 |
|
186 |
186 |
$0.00 |
| 90700 |
|
58 |
58 |
$0.00 |
| 90707 |
|
13 |
13 |
$0.00 |
| 90710 |
|
13 |
13 |
$0.00 |
| 90380 |
|
13 |
13 |
$0.00 |