| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
1,064 |
920 |
$100K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,184 |
992 |
$83K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
510 |
442 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,128 |
903 |
$13K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
110 |
98 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
133 |
107 |
$8K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
434 |
361 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
104 |
86 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
424 |
363 |
$5K |
| 92551 |
|
461 |
409 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
29 |
25 |
$2K |
| 81002 |
|
530 |
468 |
$1K |
| 85018 |
|
686 |
521 |
$1K |
| 99173 |
|
581 |
434 |
$733.02 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
35 |
33 |
$433.95 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
13 |
$196.49 |
| 81003 |
|
19 |
18 |
$40.44 |
| 90672 |
|
21 |
16 |
$0.13 |
| 90686 |
|
201 |
173 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| 90685 |
|
29 |
29 |
$0.00 |
| 90648 |
|
25 |
24 |
$0.00 |
| 90670 |
|
13 |
13 |
$0.00 |