| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,228 |
4,397 |
$483K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,460 |
1,295 |
$97K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
694 |
538 |
$61K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,192 |
927 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
133 |
121 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
368 |
356 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
29 |
29 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
29 |
25 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
128 |
125 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
25 |
25 |
$2K |
| 92551 |
|
96 |
84 |
$674.26 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14 |
14 |
$295.02 |
| 99173 |
|
123 |
107 |
$224.20 |