| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,817 |
1,552 |
$114K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,239 |
981 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
242 |
207 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
469 |
329 |
$10K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
205 |
132 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
94 |
86 |
$7K |
| 92551 |
|
1,302 |
969 |
$6K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
394 |
319 |
$4K |
| 99173 |
|
1,225 |
963 |
$2K |
| 99215 |
Prolong outpt/office vis |
14 |
13 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14 |
13 |
$827.45 |
| 94760 |
|
651 |
504 |
$689.26 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
30 |
14 |
$39.39 |
| 90686 |
|
207 |
192 |
$0.00 |
| 3008F |
|
124 |
111 |
$0.00 |
| 99401 |
|
131 |
113 |
$0.00 |
| 90633 |
|
25 |
23 |
$0.00 |