| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,263 |
4,557 |
$239K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,543 |
1,390 |
$41K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,511 |
2,363 |
$35K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
388 |
366 |
$26K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
324 |
308 |
$22K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
217 |
201 |
$15K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
952 |
412 |
$11K |
| 92551 |
|
1,103 |
1,026 |
$8K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
665 |
626 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
102 |
100 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
536 |
473 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
353 |
319 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
52 |
50 |
$3K |
| 99173 |
|
1,308 |
1,135 |
$2K |
| 87999 |
|
993 |
815 |
$1K |
| 90686 |
|
355 |
346 |
$0.00 |
| 90698 |
|
16 |
13 |
$0.00 |
| 90670 |
|
27 |
26 |
$0.00 |