| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,429 |
4,180 |
$332K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,723 |
1,680 |
$195K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,196 |
1,164 |
$53K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
121 |
121 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
468 |
464 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
53 |
51 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
99 |
98 |
$3K |
| 99173 |
|
558 |
555 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
21 |
20 |
$825.30 |
| 90686 |
|
17 |
17 |
$0.00 |