| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,772 |
1,682 |
$146K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,438 |
2,257 |
$132K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
498 |
497 |
$37K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
195 |
195 |
$16K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,676 |
1,665 |
$15K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
104 |
104 |
$7K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
339 |
339 |
$5K |
| 90686 |
|
842 |
839 |
$975.19 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
75 |
70 |
$849.25 |
| 99000 |
|
118 |
114 |
$303.03 |
| 90656 |
|
75 |
75 |
$111.75 |
| 99051 |
|
89 |
86 |
$0.00 |
| 94760 |
|
431 |
383 |
$0.00 |