| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,269 |
1,163 |
$67K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
803 |
785 |
$15K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
130 |
126 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
24 |
24 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
140 |
138 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
34 |
32 |
$1K |
| 92587 |
|
30 |
30 |
$472.12 |
| 90670 |
|
30 |
30 |
$360.10 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$343.82 |
| 90686 |
|
97 |
97 |
$141.95 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$89.28 |
| 94760 |
|
137 |
126 |
$88.68 |
| 90680 |
|
12 |
12 |
$0.00 |
| 99072 |
|
305 |
289 |
$0.00 |
| 90461 |
|
197 |
195 |
$0.00 |