| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,388 |
5,979 |
$264K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,497 |
1,416 |
$77K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
110 |
109 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
50 |
49 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
130 |
125 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$671.50 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
24 |
24 |
$480.00 |
| 94760 |
|
1,446 |
1,399 |
$362.79 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
17 |
17 |
$224.87 |
| 99173 |
|
70 |
69 |
$102.54 |
| 3008F |
|
50 |
50 |
$0.00 |