| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
823 |
735 |
$78K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
274 |
236 |
$18K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
46 |
46 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
41 |
41 |
$3K |
| 99050 |
|
275 |
226 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
58 |
56 |
$300.00 |
| 92552 |
|
21 |
21 |
$287.70 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
63 |
63 |
$236.25 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12 |
12 |
$60.00 |
| 90688 |
|
20 |
19 |
$18.77 |