| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,783 |
1,322 |
$82K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
353 |
283 |
$24K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
323 |
285 |
$23K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
637 |
529 |
$17K |
| 90461 |
|
505 |
427 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
62 |
57 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
58 |
45 |
$4K |
| 99381 |
|
54 |
41 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
34 |
29 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
238 |
94 |
$2K |
| 92551 |
|
300 |
243 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
131 |
59 |
$1K |
| 87807 |
|
65 |
51 |
$679.32 |
| 99173 |
|
301 |
244 |
$418.23 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
18 |
17 |
$186.48 |
| 90633 |
|
124 |
96 |
$0.00 |
| 90710 |
|
88 |
72 |
$0.00 |
| 90670 |
|
341 |
294 |
$0.00 |
| 90715 |
|
34 |
29 |
$0.00 |
| 90647 |
|
228 |
198 |
$0.00 |
| 90723 |
|
295 |
250 |
$0.00 |
| 90696 |
|
18 |
15 |
$0.00 |