| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,500 |
6,353 |
$391K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,881 |
1,596 |
$143K |
| 90686 |
|
1,844 |
1,509 |
$19K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
943 |
793 |
$11K |
| 99215 |
Prolong outpt/office vis |
83 |
69 |
$10K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,522 |
1,820 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
95 |
91 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
241 |
211 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
28 |
25 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
25 |
25 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
680 |
476 |
$2K |
| 92551 |
|
145 |
133 |
$1K |
| 99051 |
|
371 |
312 |
$645.53 |
| 90670 |
|
13 |
12 |
$506.44 |
| 90461 |
|
90 |
79 |
$297.50 |
| 99173 |
|
73 |
57 |
$144.80 |
| 91307 |
|
13 |
13 |
$0.13 |
| 99072 |
|
15 |
13 |
$0.00 |