| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
910 |
740 |
$46K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
301 |
273 |
$19K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
96 |
96 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
61 |
58 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
236 |
235 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
315 |
310 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
129 |
121 |
$2K |
| 99381 |
|
19 |
19 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
13 |
13 |
$535.18 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
18 |
18 |
$532.79 |
| 87276 |
|
21 |
21 |
$267.56 |
| 90474 |
|
96 |
96 |
$250.20 |
| 87275 |
|
16 |
16 |
$197.70 |
| 81002 |
|
30 |
29 |
$29.94 |
| 90680 |
|
81 |
81 |
$0.00 |
| 90744 |
|
75 |
73 |
$0.00 |
| 90698 |
|
132 |
132 |
$0.00 |
| 90716 |
|
25 |
25 |
$0.00 |
| 90633 |
|
78 |
76 |
$0.00 |
| 90670 |
|
141 |
139 |
$0.00 |
| 90707 |
|
15 |
15 |
$0.00 |