| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
894 |
823 |
$50K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
165 |
151 |
$14K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
124 |
115 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
268 |
245 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
96 |
93 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
267 |
252 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
188 |
180 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
175 |
85 |
$2K |
| 87276 |
|
161 |
147 |
$2K |
| 87275 |
|
161 |
147 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
151 |
147 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15 |
15 |
$1K |
| 92551 |
|
32 |
28 |
$255.58 |
| 87807 |
|
12 |
12 |
$143.88 |
| 99173 |
|
30 |
26 |
$54.35 |
| 90670 |
|
45 |
43 |
$0.00 |
| 90698 |
|
44 |
42 |
$0.00 |