| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,627 |
1,555 |
$112K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
847 |
780 |
$82K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
883 |
883 |
$82K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,017 |
2,009 |
$80K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
699 |
655 |
$60K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
93 |
93 |
$9K |
| 99460 |
|
100 |
100 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
300 |
300 |
$5K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
77 |
77 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
91 |
90 |
$4K |
| 92551 |
|
281 |
281 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
58 |
57 |
$2K |
| 99173 |
|
556 |
556 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
71 |
69 |
$983.51 |
| 99462 |
|
19 |
15 |
$672.89 |
| 87807 |
|
12 |
12 |
$139.80 |
| 96127 |
|
13 |
13 |
$54.47 |
| 36416 |
|
15 |
13 |
$40.05 |
| 90686 |
|
552 |
552 |
$0.00 |
| 90680 |
|
115 |
115 |
$0.00 |
| 90698 |
|
89 |
89 |
$0.00 |
| 90670 |
|
322 |
322 |
$0.00 |
| 90685 |
|
146 |
146 |
$0.00 |
| 96160 |
|
171 |
171 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |