| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
655 |
608 |
$41K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
378 |
340 |
$35K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
39 |
37 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
45 |
39 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
149 |
137 |
$3K |
| 99460 |
|
19 |
19 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
25 |
25 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
129 |
118 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
69 |
32 |
$998.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
55 |
49 |
$766.64 |
| 92551 |
|
84 |
71 |
$711.80 |
| 87275 |
|
35 |
30 |
$507.60 |
| 87276 |
|
37 |
30 |
$492.80 |
| 99173 |
|
82 |
69 |
$152.00 |
| 90698 |
|
29 |
26 |
$0.00 |
| 90670 |
|
14 |
14 |
$0.00 |