| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,370 |
6,529 |
$1.16M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,030 |
985 |
$145K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
87 |
87 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
24 |
24 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
17 |
17 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
216 |
205 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
171 |
169 |
$695.18 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
59 |
55 |
$677.88 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
254 |
243 |
$18.04 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
46 |
46 |
$0.00 |
| 90662 |
|
45 |
45 |
$0.00 |
| 90686 |
|
80 |
78 |
$0.00 |