| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
507 |
500 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
127 |
126 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
93 |
93 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
690 |
686 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
70 |
70 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
32 |
32 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
247 |
244 |
$2K |
| 90688 |
|
162 |
162 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
12 |
12 |
$1K |
| 94010 |
|
30 |
30 |
$1K |
| 90698 |
|
40 |
40 |
$484.15 |
| 90670 |
|
30 |
29 |
$239.20 |
| 90651 |
|
13 |
13 |
$220.80 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$209.40 |
| 90633 |
|
12 |
12 |
$202.40 |
| 96161 |
|
44 |
43 |
$170.97 |
| 94664 |
|
13 |
13 |
$129.84 |
| 90474 |
|
13 |
13 |
$117.52 |
| 96160 |
|
15 |
15 |
$41.70 |
| 2014F |
|
71 |
71 |
$0.00 |
| 3008F |
|
389 |
388 |
$0.00 |
| 90680 |
|
13 |
13 |
$0.00 |
| 90686 |
|
32 |
32 |
$0.00 |