| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
416 |
366 |
$16K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
59 |
59 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
49 |
49 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
53 |
52 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
31 |
31 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
33 |
31 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
49 |
49 |
$516.08 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
36 |
36 |
$486.85 |
| 92552 |
|
97 |
97 |
$138.24 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
139 |
138 |
$30.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14 |
14 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
60 |
56 |
$0.00 |
| 90670 |
|
40 |
39 |
$0.00 |
| 90698 |
|
36 |
36 |
$0.00 |
| 90619 |
|
14 |
14 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| 90744 |
|
25 |
25 |
$0.00 |
| 90680 |
|
35 |
35 |
$0.00 |