| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,314 |
1,153 |
$96K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
654 |
572 |
$37K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
248 |
205 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
28 |
28 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
57 |
56 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
69 |
68 |
$837.76 |
| 90461 |
|
14 |
14 |
$684.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
52 |
49 |
$514.84 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
19 |
19 |
$456.00 |
| 99401 |
|
15 |
15 |
$445.12 |
| 99050 |
|
13 |
13 |
$394.68 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
26 |
14 |
$364.00 |
| 90686 |
|
411 |
197 |
$204.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
15 |
15 |
$117.30 |
| 90685 |
|
25 |
12 |
$12.50 |
| 90670 |
|
14 |
14 |
$7.00 |