| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,581 |
4,892 |
$210K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
535 |
459 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
221 |
214 |
$12K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
113 |
113 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
352 |
344 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
80 |
77 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
64 |
60 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
34 |
34 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
30 |
30 |
$368.10 |
| 90688 |
|
12 |
12 |
$206.04 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$130.00 |
| 81003 |
|
24 |
24 |
$53.44 |
| 90670 |
|
118 |
114 |
$0.12 |
| 90686 |
|
36 |
36 |
$0.03 |
| 90680 |
|
28 |
24 |
$0.03 |
| 90698 |
|
34 |
30 |
$0.03 |
| 90710 |
|
25 |
25 |
$0.01 |
| 90656 |
|
13 |
13 |
$0.00 |