| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,396 |
2,732 |
$210K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
401 |
346 |
$15K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
108 |
105 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
816 |
805 |
$7K |
| 0001A |
|
149 |
149 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
73 |
73 |
$6K |
| 0002A |
|
125 |
125 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
58 |
53 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
187 |
187 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
27 |
27 |
$2K |
| 0003A |
|
47 |
47 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
88 |
43 |
$1K |
| 90688 |
|
59 |
59 |
$712.89 |
| 90686 |
|
32 |
32 |
$64.56 |
| 91300 |
|
343 |
308 |
$0.00 |