| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
701 |
593 |
$40K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
278 |
247 |
$23K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
108 |
103 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
91 |
86 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
31 |
29 |
$2K |
| 90686 |
|
106 |
103 |
$912.58 |
| 90710 |
|
13 |
13 |
$348.93 |
| 90647 |
|
25 |
24 |
$310.25 |
| 90670 |
|
27 |
25 |
$286.55 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
19 |
17 |
$243.00 |
| 92551 |
|
23 |
23 |
$241.68 |
| 99173 |
|
76 |
75 |
$189.07 |
| 83655 |
|
13 |
13 |
$183.71 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
13 |
$152.46 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
40 |
37 |
$51.24 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
66 |
61 |
$45.10 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
33 |
30 |
$44.95 |
| 85018 |
|
12 |
12 |
$33.16 |
| 90461 |
|
39 |
36 |
$22.00 |
| 99000 |
|
17 |
16 |
$0.00 |