| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,357 |
5,136 |
$504K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
301 |
288 |
$35K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,037 |
1,781 |
$23K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
194 |
194 |
$16K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
961 |
939 |
$9K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
530 |
527 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
117 |
113 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
37 |
36 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
27 |
27 |
$2K |
| 99383 |
|
21 |
16 |
$1K |
| 85018 |
|
853 |
807 |
$1K |
| 92551 |
|
138 |
128 |
$878.42 |
| 92552 |
|
17 |
17 |
$419.13 |
| 99173 |
|
159 |
151 |
$259.53 |
| 90474 |
|
26 |
26 |
$232.64 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
18 |
14 |
$170.40 |
| 90670 |
|
139 |
139 |
$165.00 |
| 90671 |
|
36 |
27 |
$136.86 |
| 90680 |
|
25 |
25 |
$0.00 |
| 90698 |
|
39 |
39 |
$0.00 |
| 90744 |
|
13 |
13 |
$0.00 |
| 90656 |
|
13 |
13 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |