| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,712 |
990 |
$24K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,015 |
546 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
217 |
147 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
615 |
441 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
41 |
37 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
853 |
484 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
32 |
25 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
155 |
106 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
132 |
32 |
$726.08 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
49 |
25 |
$696.00 |
| 90688 |
|
330 |
200 |
$578.05 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
97 |
44 |
$541.29 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
15 |
13 |
$347.60 |
| 90687 |
|
149 |
86 |
$90.27 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
12 |
12 |
$14.99 |