| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,257 |
1,137 |
$76K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
508 |
469 |
$25K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
207 |
193 |
$14K |
| 92551 |
|
475 |
447 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
68 |
67 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
68 |
53 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
53 |
52 |
$4K |
| 99173 |
|
464 |
434 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
96 |
47 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$243.12 |
| 90686 |
|
52 |
52 |
$19.03 |
| 90461 |
|
367 |
331 |
$0.00 |
| 90670 |
|
88 |
71 |
$0.00 |
| 90700 |
|
58 |
55 |
$0.00 |
| 90707 |
|
20 |
20 |
$0.00 |
| 90713 |
|
12 |
12 |
$0.00 |
| 90685 |
|
14 |
14 |
$0.00 |
| 90633 |
|
13 |
13 |
$0.00 |
| 90716 |
|
15 |
15 |
$0.00 |
| 90651 |
|
32 |
29 |
$0.00 |
| 90698 |
|
21 |
13 |
$0.00 |