| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,402 |
2,090 |
$166K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,939 |
2,579 |
$131K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
546 |
524 |
$36K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
256 |
244 |
$19K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,203 |
1,128 |
$17K |
| 92551 |
|
1,177 |
1,108 |
$9K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
533 |
505 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
80 |
76 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
31 |
26 |
$2K |
| 90674 |
|
164 |
152 |
$240.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15 |
15 |
$170.69 |
| 92568 |
|
13 |
13 |
$145.04 |
| 90620 |
|
14 |
14 |
$50.00 |
| 90633 |
|
154 |
138 |
$0.33 |
| 90651 |
|
41 |
41 |
$0.07 |
| 90715 |
|
43 |
39 |
$0.00 |
| 90734 |
|
71 |
58 |
$0.00 |
| 90688 |
|
117 |
113 |
$0.00 |