| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
495 |
471 |
$35K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
214 |
195 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
292 |
273 |
$14K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
550 |
538 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
132 |
132 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
91 |
90 |
$7K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
306 |
299 |
$5K |
| 99461 |
|
48 |
45 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
16 |
16 |
$1K |
| 92585 |
|
25 |
24 |
$728.77 |
| 90474 |
|
74 |
74 |
$724.30 |
| 90670 |
|
154 |
152 |
$183.52 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
15 |
15 |
$151.32 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$105.52 |
| 90698 |
|
94 |
93 |
$93.80 |
| 90651 |
|
12 |
12 |
$0.00 |
| 90686 |
|
187 |
187 |
$0.00 |
| 90744 |
|
45 |
45 |
$0.00 |
| 90680 |
|
75 |
75 |
$0.00 |
| 92558 |
|
20 |
20 |
$0.00 |
| 99177 |
|
123 |
120 |
$0.00 |
| 90685 |
|
29 |
29 |
$0.00 |