| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
438 |
397 |
$40K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
478 |
426 |
$29K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
62 |
60 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
27 |
26 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
108 |
100 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
144 |
135 |
$2K |
| 87276 |
|
87 |
78 |
$1K |
| 87275 |
|
87 |
78 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
129 |
120 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
66 |
32 |
$1K |
| 92551 |
|
18 |
17 |
$215.80 |
| 99173 |
|
15 |
14 |
$40.13 |
| 90698 |
|
14 |
13 |
$0.00 |
| 90686 |
|
13 |
13 |
$0.00 |
| 90670 |
|
14 |
13 |
$0.00 |