| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,660 |
1,530 |
$76K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
250 |
232 |
$16K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
188 |
179 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
162 |
152 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
660 |
628 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
133 |
132 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
108 |
106 |
$8K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
391 |
378 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
298 |
152 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
63 |
58 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
59 |
57 |
$726.97 |
| 90474 |
|
37 |
36 |
$319.55 |
| 85018 |
|
67 |
58 |
$106.20 |
| 90686 |
|
33 |
33 |
$29.12 |
| 90670 |
|
145 |
141 |
$0.00 |
| 90633 |
|
110 |
104 |
$0.00 |
| 90685 |
|
56 |
55 |
$0.00 |
| 90715 |
|
30 |
29 |
$0.00 |
| 90734 |
|
56 |
54 |
$0.00 |
| 90698 |
|
146 |
142 |
$0.00 |
| 90651 |
|
48 |
48 |
$0.00 |
| 90744 |
|
34 |
31 |
$0.00 |
| 90680 |
|
36 |
36 |
$0.00 |