| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,175 |
1,057 |
$42K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
718 |
646 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
306 |
282 |
$14K |
| 0064A |
|
135 |
135 |
$5K |
| 0012A |
|
106 |
106 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
149 |
125 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
333 |
328 |
$3K |
| 0011A |
|
106 |
106 |
$3K |
| 90686 |
|
391 |
382 |
$3K |
| 99215 |
Prolong outpt/office vis |
14 |
13 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
19 |
19 |
$925.00 |
| 0071A |
|
14 |
14 |
$560.00 |
| 0072A |
|
13 |
13 |
$520.00 |
| 0134A |
|
15 |
15 |
$420.00 |
| 92552 |
|
58 |
58 |
$283.83 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
33 |
32 |
$278.25 |
| 99173 |
|
48 |
48 |
$208.40 |
| 91301 |
|
130 |
130 |
$0.18 |
| 91307 |
|
27 |
17 |
$0.10 |
| 91306 |
|
144 |
144 |
$0.02 |
| 90656 |
|
114 |
114 |
$0.00 |