| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,374 |
5,763 |
$168K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,052 |
2,814 |
$110K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
35 |
30 |
$770.06 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
102 |
97 |
$572.60 |
| 90686 |
|
48 |
46 |
$389.35 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
13 |
$101.07 |
| 3074F |
|
32 |
29 |
$100.00 |
| 3079F |
|
15 |
13 |
$60.00 |
| 3078F |
|
16 |
16 |
$50.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
32 |
30 |
$40.00 |
| 99173 |
|
12 |
12 |
$14.28 |
| 3008F |
|
514 |
460 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
182 |
174 |
$0.00 |