| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,719 |
5,318 |
$413K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,731 |
3,558 |
$173K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,084 |
2,918 |
$161K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,322 |
1,260 |
$96K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
638 |
621 |
$50K |
| 96160 |
|
3,518 |
3,311 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
348 |
344 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
45 |
44 |
$3K |
| 99177 |
|
108 |
101 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
94 |
78 |
$1K |
| 90461 |
|
13 |
12 |
$880.58 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
67 |
62 |
$852.81 |
| 94760 |
|
95 |
87 |
$143.59 |
| 99000 |
|
68 |
61 |
$119.65 |
| 90686 |
|
573 |
516 |
$100.10 |
| 90648 |
|
241 |
219 |
$0.00 |
| 90670 |
|
260 |
238 |
$0.00 |
| 99072 |
|
44 |
29 |
$0.00 |
| 90688 |
|
110 |
103 |
$0.00 |
| 90723 |
|
80 |
70 |
$0.00 |