| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,349 |
1,185 |
$60K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
690 |
632 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
147 |
122 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
465 |
368 |
$5K |
| 92587 |
|
142 |
133 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
215 |
198 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
100 |
87 |
$3K |
| 92567 |
|
160 |
150 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
82 |
64 |
$853.45 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$744.41 |
| 85018 |
|
182 |
174 |
$403.56 |
| 99499 |
|
37 |
30 |
$347.00 |
| 81002 |
|
123 |
119 |
$290.00 |
| 99173 |
|
62 |
59 |
$107.58 |
| 90686 |
|
266 |
253 |
$19.03 |
| T1015 |
Clinic visit/encounter, all-inclusive |
18 |
16 |
$0.00 |
| 90670 |
|
14 |
13 |
$0.00 |
| 90633 |
|
14 |
13 |
$0.00 |