| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,662 |
1,505 |
$101K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,070 |
999 |
$97K |
| 99215 |
Prolong outpt/office vis |
453 |
432 |
$55K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
468 |
467 |
$42K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
430 |
419 |
$36K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
745 |
743 |
$24K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,251 |
1,247 |
$22K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
212 |
212 |
$19K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
272 |
261 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
493 |
484 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
263 |
257 |
$4K |
| 90474 |
|
86 |
86 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$1K |
| 87807 |
|
67 |
54 |
$804.25 |