| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,760 |
1,361 |
$117K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,170 |
1,021 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
92 |
77 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
19 |
15 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
14 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15 |
14 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
48 |
43 |
$604.94 |
| 81002 |
|
65 |
61 |
$181.41 |
| 90461 |
|
21 |
17 |
$0.00 |