| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
682 |
635 |
$48K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
329 |
316 |
$23K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
264 |
258 |
$19K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
827 |
810 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
205 |
194 |
$10K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
457 |
444 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
76 |
75 |
$5K |
| 99461 |
|
57 |
54 |
$4K |
| 92585 |
|
38 |
38 |
$2K |
| 90474 |
|
195 |
189 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$981.66 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
54 |
53 |
$639.62 |
| 90670 |
|
298 |
292 |
$183.52 |
| 90698 |
|
256 |
250 |
$93.80 |
| 90680 |
|
198 |
193 |
$84.42 |
| 90633 |
|
65 |
65 |
$32.55 |
| 99177 |
|
140 |
137 |
$7.50 |
| 90686 |
|
242 |
238 |
$3.93 |
| 90710 |
|
39 |
39 |
$0.00 |
| 90685 |
|
181 |
180 |
$0.00 |
| 90744 |
|
144 |
139 |
$0.00 |
| 92558 |
|
14 |
14 |
$0.00 |