| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,704 |
1,190 |
$140K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
715 |
579 |
$90K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
223 |
212 |
$34K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
64 |
50 |
$7K |
| 92567 |
|
652 |
570 |
$666.51 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
969 |
434 |
$384.42 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
876 |
677 |
$368.32 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
48 |
43 |
$129.14 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
121 |
109 |
$72.00 |
| 87807 |
|
398 |
346 |
$40.12 |
| 83655 |
|
29 |
27 |
$0.00 |