| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
420 |
405 |
$36K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
344 |
324 |
$20K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
67 |
67 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
267 |
133 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
43 |
43 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
183 |
181 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$976.23 |
| 81003 |
|
131 |
131 |
$335.53 |
| 90670 |
|
12 |
12 |
$292.95 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
167 |
166 |
$251.28 |
| 85014 |
|
83 |
83 |
$224.04 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
27 |
26 |
$213.84 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
104 |
104 |
$181.05 |
| 36416 |
|
163 |
157 |
$35.20 |