| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,206 |
1,988 |
$104K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
944 |
882 |
$36K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
308 |
308 |
$15K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
679 |
656 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
136 |
136 |
$7K |
| 87070 |
|
611 |
592 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
342 |
336 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
55 |
55 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
31 |
29 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
104 |
103 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
55 |
53 |
$657.18 |
| 90686 |
|
126 |
125 |
$545.57 |
| 90461 |
|
58 |
58 |
$540.00 |
| 90707 |
|
12 |
12 |
$184.98 |
| 99173 |
|
524 |
522 |
$19.17 |