| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
224 |
212 |
$20K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
161 |
131 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
204 |
192 |
$12K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
93 |
92 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
136 |
132 |
$597.63 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
34 |
32 |
$442.95 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
96 |
91 |
$210.10 |
| 90723 |
|
20 |
16 |
$0.00 |
| 90686 |
|
13 |
13 |
$0.00 |
| 90647 |
|
15 |
12 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
34 |
33 |
$0.00 |
| 90670 |
|
45 |
40 |
$0.00 |
| 90461 |
|
31 |
30 |
$0.00 |
| 90473 |
|
15 |
12 |
$0.00 |