| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,243 |
9,058 |
$106K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,017 |
2,007 |
$95K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,072 |
3,947 |
$82K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,550 |
1,541 |
$69K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
699 |
687 |
$29K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
433 |
431 |
$17K |
| 90619 |
|
87 |
86 |
$12K |
| 90461 |
|
850 |
835 |
$10K |
| 3008F |
|
5,125 |
5,031 |
$7K |
| 90734 |
|
114 |
114 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
100 |
98 |
$4K |
| 90686 |
|
338 |
337 |
$3K |
| 97802 |
|
2,911 |
2,883 |
$2K |
| 90716 |
|
48 |
48 |
$960.82 |
| 99051 |
|
2,073 |
2,009 |
$938.95 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
14 |
$163.67 |
| 90715 |
|
12 |
12 |
$95.66 |
| 99070 |
|
6,505 |
6,065 |
$84.50 |
| 90700 |
|
46 |
41 |
$60.72 |
| 90656 |
|
13 |
13 |
$39.46 |
| 90713 |
|
16 |
14 |
$36.89 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
13 |
$0.00 |