| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,766 |
6,330 |
$512K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
683 |
682 |
$62K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
640 |
640 |
$53K |
| 92552 |
|
1,818 |
1,816 |
$32K |
| 99442 |
|
548 |
498 |
$27K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,784 |
1,778 |
$14K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
138 |
138 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
122 |
107 |
$10K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
792 |
689 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
281 |
272 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
927 |
903 |
$2K |
| 90686 |
|
350 |
349 |
$499.27 |
| 99173 |
|
1,247 |
1,245 |
$272.62 |
| 90734 |
|
48 |
48 |
$0.00 |