| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,691 |
3,508 |
$286K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,070 |
1,970 |
$169K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,356 |
2,294 |
$152K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
61 |
61 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
43 |
42 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
226 |
217 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
80 |
76 |
$587.20 |
| 92551 |
|
13 |
13 |
$151.97 |
| 87430 |
|
12 |
12 |
$103.08 |
| 90686 |
|
70 |
69 |
$0.23 |
| 99173 |
|
24 |
24 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
32 |
32 |
$0.00 |