| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,662 |
7,576 |
$790K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,424 |
5,179 |
$386K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,676 |
1,675 |
$160K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,217 |
1,213 |
$51K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
217 |
217 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
363 |
362 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
44 |
44 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
40 |
40 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
170 |
170 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
17 |
17 |
$2K |
| 96160 |
|
231 |
231 |
$0.00 |
| 90734 |
|
44 |
44 |
$0.00 |
| 90651 |
|
43 |
43 |
$0.00 |
| 90686 |
|
236 |
236 |
$0.00 |