| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,571 |
2,496 |
$179K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,651 |
2,556 |
$127K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,575 |
1,563 |
$22K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
161 |
161 |
$13K |
| 92551 |
|
1,066 |
1,064 |
$7K |
| 3008F |
|
645 |
645 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
38 |
38 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
237 |
237 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
81 |
81 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
310 |
307 |
$2K |
| 99173 |
|
892 |
891 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
78 |
77 |
$2K |
| 87400 |
|
92 |
92 |
$1K |
| 90686 |
|
76 |
76 |
$972.56 |
| 94760 |
|
45 |
44 |
$4.44 |