| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,776 |
5,360 |
$597K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,324 |
1,243 |
$91K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
378 |
370 |
$62K |
| 99051 |
|
9,080 |
8,444 |
$60K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
403 |
385 |
$41K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,758 |
1,668 |
$19K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
760 |
370 |
$8K |
| 94760 |
|
4,892 |
4,557 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
165 |
161 |
$4K |
| 69210 |
|
93 |
88 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
25 |
25 |
$3K |
| 99174 |
|
102 |
98 |
$2K |
| 96127 |
|
98 |
92 |
$2K |
| 92552 |
|
102 |
97 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12 |
12 |
$622.72 |
| 90686 |
|
210 |
204 |
$0.00 |