| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
517 |
464 |
$48K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
267 |
246 |
$17K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
202 |
180 |
$17K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
151 |
148 |
$14K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
459 |
448 |
$10K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
247 |
234 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
28 |
28 |
$3K |
| 96111 |
|
16 |
14 |
$1K |
| 69210 |
|
33 |
33 |
$1K |
| 92585 |
|
13 |
13 |
$906.49 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
83 |
81 |
$896.13 |
| 90474 |
|
71 |
69 |
$719.08 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
65 |
64 |
$665.80 |
| 90670 |
|
133 |
127 |
$172.41 |
| 90633 |
|
28 |
28 |
$32.55 |
| 99177 |
|
78 |
77 |
$15.22 |
| 92558 |
|
17 |
17 |
$0.44 |
| 90698 |
|
108 |
102 |
$0.00 |
| 90680 |
|
71 |
71 |
$0.00 |
| 90686 |
|
122 |
122 |
$0.00 |
| 90744 |
|
39 |
36 |
$0.00 |
| 90685 |
|
113 |
112 |
$0.00 |