| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,997 |
7,560 |
$316K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,365 |
4,240 |
$136K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,142 |
1,131 |
$64K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
706 |
670 |
$42K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
404 |
403 |
$22K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
377 |
371 |
$18K |
| 90686 |
|
2,423 |
2,413 |
$18K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
491 |
489 |
$9K |
| 99177 |
|
387 |
384 |
$4K |
| 85018 |
|
992 |
981 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
26 |
26 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
57 |
57 |
$1K |
| 36416 |
|
1,160 |
1,148 |
$1K |
| 90670 |
|
121 |
120 |
$930.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
67 |
66 |
$765.81 |
| 90680 |
|
63 |
62 |
$470.00 |
| 90723 |
|
50 |
50 |
$380.00 |
| 96127 |
|
94 |
86 |
$336.68 |
| 90647 |
|
37 |
37 |
$270.00 |
| 90461 |
|
912 |
908 |
$63.00 |
| 99000 |
|
151 |
145 |
$0.00 |