| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
294 |
280 |
$24K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
359 |
349 |
$19K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
41 |
41 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
41 |
41 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
29 |
29 |
$3K |
| 90686 |
|
115 |
114 |
$1K |
| 92551 |
|
117 |
117 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14 |
13 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
70 |
69 |
$941.20 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
28 |
12 |
$340.92 |
| 99173 |
|
129 |
129 |
$292.21 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
153 |
151 |
$196.94 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
57 |
57 |
$182.13 |
| 87081 |
|
28 |
28 |
$91.84 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
14 |
13 |
$33.00 |
| 99051 |
|
132 |
127 |
$0.00 |