| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
597 |
552 |
$39K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
325 |
314 |
$20K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
236 |
229 |
$15K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
657 |
638 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
266 |
241 |
$11K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
443 |
428 |
$8K |
| 99461 |
|
74 |
73 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
43 |
41 |
$3K |
| 90474 |
|
190 |
187 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
143 |
136 |
$1K |
| 99381 |
|
16 |
16 |
$1K |
| 99382 |
|
19 |
13 |
$901.26 |
| 92585 |
|
15 |
15 |
$637.84 |
| 90670 |
|
313 |
301 |
$335.52 |
| 90698 |
|
232 |
223 |
$93.80 |
| 90680 |
|
198 |
191 |
$42.21 |
| 90633 |
|
69 |
66 |
$32.62 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
17 |
17 |
$19.05 |
| 92558 |
|
21 |
21 |
$0.00 |
| 90686 |
|
113 |
111 |
$0.00 |
| 90744 |
|
147 |
145 |
$0.00 |
| 99177 |
|
94 |
93 |
$0.00 |
| 90685 |
|
115 |
115 |
$0.00 |
| 90700 |
|
13 |
13 |
$0.00 |