| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
9,008 |
8,638 |
$295K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,782 |
17,822 |
$211K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,787 |
7,506 |
$52K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,261 |
2,220 |
$30K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,365 |
1,335 |
$28K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,229 |
1,166 |
$26K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
974 |
938 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
168 |
147 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
322 |
302 |
$2K |
| 99215 |
Prolong outpt/office vis |
559 |
410 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
648 |
586 |
$770.79 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
282 |
272 |
$574.97 |
| 99383 |
|
12 |
12 |
$405.92 |
| 99000 |
|
527 |
342 |
$320.76 |
| 90686 |
|
2,792 |
2,013 |
$205.75 |
| 81003 |
|
305 |
223 |
$79.32 |
| 99374 |
|
229 |
186 |
$49.75 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
410 |
216 |
$28.07 |
| 90670 |
|
270 |
236 |
$0.00 |
| 99173 |
|
32 |
32 |
$0.00 |
| 90687 |
|
75 |
67 |
$0.00 |
| 90621 |
|
13 |
13 |
$0.00 |
| 90698 |
|
239 |
214 |
$0.00 |
| 90688 |
|
766 |
635 |
$0.00 |
| 90680 |
|
81 |
67 |
$0.00 |
| 90744 |
|
73 |
68 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |