| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,895 |
3,410 |
$167K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
425 |
415 |
$27K |
| 92552 |
|
1,683 |
1,622 |
$22K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,338 |
1,266 |
$20K |
| 92550 |
|
2,128 |
2,022 |
$19K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
186 |
183 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
673 |
630 |
$7K |
| 90686 |
|
247 |
244 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
31 |
31 |
$2K |
| 99173 |
|
1,530 |
1,371 |
$1K |
| 90620 |
|
13 |
13 |
$1K |
| 90651 |
|
12 |
12 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
271 |
254 |
$449.14 |
| 90461 |
|
12 |
12 |
$236.40 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
22 |
19 |
$223.02 |
| 99000 |
|
160 |
159 |
$0.00 |