| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,644 |
6,431 |
$76K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,826 |
1,769 |
$61K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,422 |
1,402 |
$48K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,266 |
3,154 |
$45K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
956 |
932 |
$30K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
621 |
584 |
$22K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,279 |
4,023 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,937 |
1,868 |
$12K |
| 99188 |
|
704 |
686 |
$10K |
| 90686 |
|
1,004 |
975 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
389 |
378 |
$5K |
| 90734 |
|
28 |
27 |
$926.38 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
479 |
468 |
$399.66 |
| 97802 |
|
530 |
517 |
$253.98 |
| 90670 |
|
38 |
38 |
$226.43 |
| 90700 |
|
84 |
83 |
$167.24 |
| 94664 |
|
12 |
12 |
$128.16 |
| 90685 |
|
54 |
49 |
$95.55 |
| 90713 |
|
13 |
12 |
$0.00 |
| 90716 |
|
13 |
12 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |