| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
1,505 |
1,395 |
$163K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
557 |
522 |
$38K |
| 99417 |
Prolong home eval add 15m |
195 |
150 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
139 |
134 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
195 |
163 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
77 |
76 |
$1K |
| 99000 |
|
64 |
63 |
$700.94 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
34 |
34 |
$477.16 |
| 99487 |
Ccm add 20min |
12 |
12 |
$125.00 |
| 96161 |
|
146 |
145 |
$66.58 |
| 90686 |
|
191 |
189 |
$0.00 |