| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,704 |
3,347 |
$551K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,173 |
2,014 |
$306K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
105 |
104 |
$15K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
62 |
61 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
182 |
174 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
14 |
13 |
$151.78 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
175 |
164 |
$10.96 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
63 |
61 |
$8.64 |
| 90686 |
|
15 |
12 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
177 |
162 |
$0.00 |