| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,138 |
2,324 |
$188K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,420 |
1,195 |
$134K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,727 |
1,580 |
$17K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
152 |
145 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
88 |
86 |
$8K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
504 |
457 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
622 |
580 |
$7K |
| 99443 |
|
126 |
102 |
$5K |
| 87081 |
|
468 |
436 |
$3K |
| 99050 |
|
70 |
69 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
30 |
25 |
$2K |
| 81002 |
|
1,044 |
980 |
$2K |
| 92551 |
|
142 |
137 |
$1K |
| 90473 |
|
66 |
66 |
$758.56 |
| 90686 |
|
166 |
159 |
$92.00 |