| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,904 |
4,687 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,414 |
8,116 |
$0.00 |
| 92551 |
|
3,191 |
3,189 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
518 |
517 |
$0.00 |
| 90686 |
|
1,078 |
1,077 |
$0.00 |
| 85018 |
|
63 |
63 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
14 |
12 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
19 |
19 |
$0.00 |
| 90688 |
|
14 |
14 |
$0.00 |
| 99173 |
|
3,017 |
3,016 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
137 |
136 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,701 |
4,665 |
$0.00 |
| 90461 |
|
577 |
574 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
764 |
762 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,007 |
1,006 |
$0.00 |
| 90687 |
|
34 |
34 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
595 |
296 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
282 |
281 |
$0.00 |
| 81002 |
|
22 |
22 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 80061 |
Lipid panel |
17 |
17 |
$0.00 |
| 99188 |
|
12 |
12 |
$0.00 |
| 99051 |
|
12 |
12 |
$0.00 |