| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,065 |
1,759 |
$143K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
963 |
843 |
$73K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,088 |
944 |
$72K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,614 |
1,422 |
$68K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
537 |
501 |
$40K |
| 90670 |
|
602 |
563 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
332 |
308 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
63 |
58 |
$4K |
| 90686 |
|
574 |
520 |
$4K |
| 90723 |
|
404 |
337 |
$4K |
| 90680 |
|
311 |
248 |
$2K |
| 90647 |
|
300 |
251 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
44 |
41 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
27 |
27 |
$615.60 |
| 83655 |
|
35 |
27 |
$415.82 |
| 90633 |
|
41 |
38 |
$263.05 |
| 36416 |
|
26 |
24 |
$102.66 |
| 90651 |
|
13 |
12 |
$83.20 |
| 85018 |
|
35 |
27 |
$78.65 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
16 |
$0.00 |