| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,252 |
2,746 |
$219K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
923 |
922 |
$101K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
979 |
978 |
$88K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
773 |
760 |
$81K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
511 |
511 |
$46K |
| 85018 |
|
2,486 |
2,481 |
$32K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,682 |
2,671 |
$11K |
| 90688 |
|
773 |
772 |
$6K |
| 83655 |
|
1,414 |
1,412 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
67 |
65 |
$3K |
| 90698 |
|
612 |
612 |
$2K |
| 90686 |
|
333 |
333 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,350 |
1,349 |
$1K |
| 90685 |
|
173 |
173 |
$781.89 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
71 |
71 |
$663.18 |
| 90651 |
|
202 |
202 |
$624.92 |
| 90734 |
|
111 |
111 |
$596.17 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
31 |
31 |
$533.76 |
| 90672 |
|
71 |
71 |
$515.56 |
| 90744 |
|
158 |
158 |
$226.63 |
| 90696 |
|
37 |
37 |
$214.71 |
| 90715 |
|
40 |
40 |
$154.91 |
| 90633 |
|
122 |
122 |
$145.20 |
| 90670 |
|
672 |
672 |
$113.25 |
| 90716 |
|
24 |
24 |
$63.53 |
| 90473 |
|
12 |
12 |
$50.76 |
| 90707 |
|
12 |
12 |
$0.00 |
| 90710 |
|
25 |
25 |
$0.00 |
| 90474 |
|
434 |
434 |
$0.00 |
| 90680 |
|
405 |
405 |
$0.00 |