| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,054 |
955 |
$87K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,664 |
1,528 |
$87K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
96 |
96 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
402 |
390 |
$7K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
110 |
110 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
40 |
40 |
$3K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
70 |
64 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
104 |
104 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
157 |
157 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15 |
15 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
81 |
79 |
$1K |
| 92551 |
|
19 |
19 |
$165.58 |
| 96127 |
|
19 |
19 |
$85.34 |
| 99173 |
|
21 |
21 |
$47.88 |