| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
721 |
701 |
$28K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
129 |
129 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
86 |
82 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
213 |
210 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
28 |
28 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
37 |
37 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
71 |
68 |
$941.79 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
40 |
40 |
$902.42 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
80 |
80 |
$822.41 |
| 97802 |
|
190 |
184 |
$551.56 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$381.81 |
| 85018 |
|
111 |
111 |
$312.88 |
| 90670 |
|
17 |
17 |
$0.00 |
| 90723 |
|
16 |
16 |
$0.00 |
| 90680 |
|
14 |
14 |
$0.00 |
| 90647 |
|
16 |
16 |
$0.00 |