| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,361 |
3,851 |
$259K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,908 |
4,486 |
$195K |
| 99215 |
Prolong outpt/office vis |
413 |
389 |
$30K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
377 |
361 |
$22K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,835 |
2,563 |
$13K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
165 |
142 |
$9K |
| 92551 |
|
1,905 |
1,774 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
878 |
767 |
$4K |
| 99173 |
|
1,059 |
990 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
38 |
38 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
186 |
169 |
$2K |
| 90461 |
|
188 |
157 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
296 |
251 |
$1K |
| 81002 |
|
570 |
522 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
58 |
28 |
$551.60 |
| 90686 |
|
1,573 |
1,399 |
$550.40 |
| 96127 |
|
187 |
172 |
$515.10 |
| 90648 |
|
12 |
12 |
$0.00 |
| 90633 |
|
17 |
16 |
$0.00 |
| 94760 |
|
27 |
22 |
$0.00 |
| 90656 |
|
60 |
60 |
$0.00 |