| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,922 |
1,656 |
$75K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
164 |
140 |
$14K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
137 |
130 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
73 |
68 |
$6K |
| H2010 |
Comprehensive medication services, per 15 minutes |
75 |
66 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$863.48 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
30 |
29 |
$802.05 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
243 |
242 |
$720.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
595 |
587 |
$355.00 |
| 90686 |
|
250 |
247 |
$228.02 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
40 |
24 |
$139.02 |
| 85018 |
|
107 |
101 |
$90.98 |
| 92587 |
|
57 |
56 |
$62.52 |
| 3008F |
|
416 |
385 |
$0.00 |
| 3074F |
|
230 |
222 |
$0.00 |
| 1126F |
|
15 |
13 |
$0.00 |
| 99174 |
|
12 |
12 |
$0.00 |
| 94760 |
|
33 |
26 |
$0.00 |
| 3078F |
|
227 |
219 |
$0.00 |
| 1160F |
|
18 |
16 |
$0.00 |
| 90633 |
|
13 |
13 |
$0.00 |
| 90670 |
|
14 |
14 |
$0.00 |
| 90648 |
|
14 |
14 |
$0.00 |