| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,817 |
7,017 |
$431K |
| 99199 |
Unlisted special service, procedure or report |
69,044 |
34,640 |
$419K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,119 |
1,024 |
$81K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,291 |
1,218 |
$22K |
| 99442 |
|
107 |
104 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
95 |
93 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
18 |
17 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
12 |
$2K |
| 90686 |
|
603 |
565 |
$2K |
| 99050 |
|
83 |
45 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
37 |
36 |
$467.75 |
| 90656 |
|
29 |
28 |
$100.47 |
| 99173 |
|
28 |
28 |
$2.00 |
| 3078F |
|
115 |
113 |
$0.00 |
| 1159F |
|
16 |
16 |
$0.00 |
| 3074F |
|
145 |
143 |
$0.00 |