| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
719 |
683 |
$44K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
440 |
420 |
$43K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
90 |
83 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
56 |
56 |
$6K |
| 99051 |
|
389 |
383 |
$2K |
| 90686 |
|
194 |
194 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
630 |
628 |
$1K |
| 90672 |
|
37 |
37 |
$442.80 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
51 |
50 |
$185.04 |
| 90473 |
|
53 |
53 |
$76.14 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
46 |
23 |
$0.00 |