| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,239 |
3,024 |
$269K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,811 |
2,581 |
$170K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,257 |
1,248 |
$105K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,380 |
1,249 |
$95K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,822 |
3,768 |
$68K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
715 |
697 |
$60K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
267 |
262 |
$22K |
| 90677 |
|
40 |
40 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
107 |
107 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
38 |
38 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
26 |
25 |
$948.43 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
54 |
52 |
$685.84 |
| 99460 |
|
13 |
12 |
$648.58 |
| 92587 |
|
12 |
12 |
$141.28 |
| 90656 |
|
126 |
125 |
$22.35 |
| 90461 |
|
1,542 |
1,527 |
$0.00 |
| 90670 |
|
536 |
529 |
$0.00 |
| 99173 |
|
556 |
524 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 90633 |
|
165 |
162 |
$0.00 |
| 90685 |
|
69 |
69 |
$0.00 |
| 90687 |
|
17 |
16 |
$0.00 |
| 90734 |
|
13 |
13 |
$0.00 |
| 90698 |
|
516 |
513 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$0.00 |
| 90680 |
|
178 |
178 |
$0.00 |
| 90686 |
|
668 |
662 |
$0.00 |
| 90744 |
|
26 |
26 |
$0.00 |
| 90688 |
|
18 |
18 |
$0.00 |