| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,577 |
1,221 |
$113K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
449 |
376 |
$23K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
244 |
231 |
$17K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
199 |
179 |
$14K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
74 |
73 |
$9K |
| 99381 |
|
59 |
55 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
289 |
268 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
146 |
113 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
390 |
355 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
174 |
93 |
$974.66 |
| 92551 |
|
73 |
70 |
$911.15 |
| 90474 |
|
129 |
125 |
$780.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
12 |
$431.54 |
| 94664 |
|
21 |
21 |
$336.47 |
| 99173 |
|
66 |
64 |
$286.47 |
| 87807 |
|
48 |
42 |
$207.46 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15 |
14 |
$99.46 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
104 |
87 |
$96.30 |
| 85018 |
|
70 |
58 |
$49.53 |
| 36416 |
|
67 |
57 |
$0.00 |