| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
200 |
152 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
236 |
193 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
621 |
491 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
28 |
27 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
142 |
117 |
$1K |
| 90688 |
|
94 |
89 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
90 |
63 |
$884.62 |
| 92551 |
|
182 |
159 |
$530.09 |
| 90633 |
|
13 |
12 |
$396.06 |
| 99173 |
|
30 |
30 |
$7.78 |