| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
619 |
562 |
$56K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
439 |
379 |
$55K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
364 |
347 |
$15K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
126 |
117 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
92 |
91 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
59 |
40 |
$5K |
| 90461 |
|
118 |
111 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
24 |
24 |
$3K |
| 92551 |
|
222 |
216 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
44 |
42 |
$507.16 |
| 90480 |
|
12 |
12 |
$480.00 |
| 99173 |
|
164 |
156 |
$430.90 |
| 96127 |
|
18 |
17 |
$70.92 |
| 90656 |
|
154 |
151 |
$0.00 |