| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,865 |
12,504 |
$2.62M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,623 |
4,875 |
$977K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
988 |
767 |
$23K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
111 |
102 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
14 |
$3K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
63 |
61 |
$3K |
| 90686 |
|
343 |
272 |
$812.57 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
275 |
261 |
$194.38 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
219 |
210 |
$129.64 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
35 |
32 |
$27.03 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15 |
15 |
$0.00 |