| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,365 |
1,233 |
$75K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
745 |
658 |
$29K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,092 |
1,052 |
$21K |
| 92552 |
|
481 |
478 |
$8K |
| 92283 |
|
140 |
140 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
60 |
60 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
39 |
39 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
81 |
81 |
$2K |
| 81002 |
|
562 |
555 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
14 |
13 |
$775.58 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
12 |
$616.64 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
41 |
37 |
$527.06 |
| 87070 |
|
74 |
71 |
$361.89 |
| 99173 |
|
181 |
179 |
$280.84 |
| 87430 |
|
13 |
12 |
$83.72 |