| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,854 |
1,586 |
$85K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
245 |
223 |
$16K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
188 |
183 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
140 |
129 |
$8K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
342 |
320 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
559 |
533 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
21 |
21 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
106 |
102 |
$1K |
| 99051 |
|
27 |
27 |
$675.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17 |
16 |
$555.53 |
| 81002 |
|
98 |
95 |
$203.79 |
| 90473 |
|
16 |
12 |
$172.42 |
| 81025 |
|
29 |
27 |
$152.11 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
17 |
17 |
$116.25 |
| 82962 |
|
39 |
29 |
$60.20 |
| 90674 |
|
49 |
49 |
$2.45 |
| 90686 |
|
12 |
12 |
$0.60 |