| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,321 |
2,705 |
$93K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
364 |
334 |
$11K |
| 99441 |
|
70 |
68 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
17 |
14 |
$980.32 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
18 |
17 |
$951.04 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
67 |
55 |
$663.45 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
47 |
41 |
$518.36 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
53 |
31 |
$516.01 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
60 |
46 |
$489.66 |
| 92553 |
|
12 |
12 |
$167.40 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
17 |
13 |
$143.65 |