| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,772 |
2,607 |
$105K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
642 |
618 |
$36K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
217 |
214 |
$15K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,002 |
979 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
596 |
576 |
$13K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
146 |
146 |
$10K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
492 |
481 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
42 |
40 |
$3K |
| 99173 |
|
765 |
753 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
34 |
32 |
$315.00 |
| 90474 |
|
12 |
12 |
$109.56 |
| 90686 |
|
114 |
107 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| 90697 |
|
12 |
12 |
$0.00 |
| 90670 |
|
44 |
44 |
$0.00 |