| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
399 |
235 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
50 |
20 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
232 |
93 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
32 |
13 |
$925.08 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
95 |
45 |
$842.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
19 |
12 |
$779.68 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
53 |
24 |
$474.76 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
115 |
41 |
$423.25 |
| 92567 |
|
66 |
30 |
$296.45 |
| 92587 |
|
33 |
18 |
$114.89 |
| 99173 |
|
36 |
18 |
$17.58 |
| T1015 |
Clinic visit/encounter, all-inclusive |
389 |
144 |
$0.00 |
| 90686 |
|
130 |
56 |
$0.00 |