| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
110 |
101 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
83 |
83 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
74 |
67 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
52 |
48 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
25 |
25 |
$2K |
| 99383 |
|
12 |
12 |
$900.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
25 |
25 |
$250.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$190.00 |
| 96127 |
|
31 |
31 |
$177.63 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
32 |
31 |
$121.28 |
| 92552 |
|
51 |
51 |
$0.00 |
| 99173 |
|
53 |
53 |
$0.00 |
| 99401 |
|
17 |
16 |
$0.00 |