| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,434 |
2,724 |
$227K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,216 |
1,008 |
$113K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
187 |
181 |
$16K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
591 |
541 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
39 |
39 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
38 |
37 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,018 |
844 |
$3K |
| 81002 |
|
1,918 |
1,629 |
$823.84 |
| 85014 |
|
1,686 |
1,544 |
$806.99 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
178 |
167 |
$481.72 |
| 87077 |
|
39 |
38 |
$60.54 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
27 |
25 |
$29.40 |
| 99173 |
|
261 |
231 |
$11.64 |
| 87081 |
|
137 |
116 |
$3.59 |
| 87070 |
|
52 |
42 |
$0.00 |
| 90686 |
|
30 |
27 |
$0.00 |