| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,020 |
3,144 |
$284K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,486 |
2,091 |
$148K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
888 |
840 |
$65K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
914 |
841 |
$62K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,192 |
1,090 |
$28K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,873 |
1,711 |
$28K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
453 |
365 |
$24K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
829 |
711 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
96 |
87 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
310 |
258 |
$5K |
| 90648 |
|
240 |
213 |
$3K |
| 90670 |
|
213 |
191 |
$3K |
| 90658 |
|
202 |
197 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
173 |
169 |
$1K |
| 90716 |
|
59 |
48 |
$463.41 |
| 90707 |
|
74 |
62 |
$463.41 |
| 90633 |
|
18 |
17 |
$393.74 |
| 90723 |
|
50 |
45 |
$370.69 |
| 90657 |
|
12 |
12 |
$199.78 |
| 87807 |
|
12 |
12 |
$183.23 |
| 99000 |
|
19 |
18 |
$0.00 |
| 90734 |
|
15 |
14 |
$0.00 |
| 90685 |
|
26 |
24 |
$0.00 |