| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
939 |
792 |
$34K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
303 |
262 |
$18K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
108 |
96 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
279 |
131 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
34 |
33 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
173 |
155 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
274 |
246 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
13 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
38 |
32 |
$287.74 |
| 90670 |
|
62 |
51 |
$0.00 |
| 90648 |
|
63 |
52 |
$0.00 |
| 90723 |
|
30 |
25 |
$0.00 |
| 90686 |
|
13 |
12 |
$0.00 |