| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,349 |
1,187 |
$64K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
226 |
169 |
$13K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
107 |
100 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
98 |
86 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
127 |
114 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
505 |
452 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
28 |
24 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
79 |
69 |
$601.35 |
| 92551 |
|
63 |
56 |
$471.75 |
| 99173 |
|
33 |
28 |
$109.29 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
551 |
236 |
$51.40 |
| 90670 |
|
29 |
28 |
$0.00 |
| 90698 |
|
30 |
29 |
$0.00 |