| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,441 |
2,003 |
$187K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,616 |
1,364 |
$133K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
113 |
113 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
107 |
106 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
120 |
120 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
452 |
444 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
64 |
62 |
$7K |
| 92568 |
|
449 |
445 |
$6K |
| 92551 |
|
425 |
423 |
$4K |
| 92081 |
|
98 |
98 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
163 |
148 |
$1K |
| 87070 |
|
86 |
79 |
$509.54 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
58 |
39 |
$378.50 |
| 87184 |
|
84 |
77 |
$361.79 |
| 92567 |
|
284 |
284 |
$263.11 |
| 81000 |
|
66 |
66 |
$133.55 |
| 99173 |
|
12 |
12 |
$36.15 |
| 92587 |
|
42 |
42 |
$0.00 |