| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
668 |
600 |
$45K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
914 |
869 |
$41K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
84 |
79 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
67 |
64 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
63 |
62 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
54 |
49 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
94 |
46 |
$2K |
| 90686 |
|
231 |
222 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
72 |
71 |
$1K |
| 90698 |
|
24 |
24 |
$798.24 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
18 |
16 |
$276.80 |
| 90633 |
|
13 |
13 |
$79.22 |
| 90670 |
|
13 |
13 |
$71.78 |