| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,407 |
4,755 |
$263K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,124 |
1,097 |
$73K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,522 |
2,436 |
$51K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
384 |
382 |
$23K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
359 |
359 |
$21K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
353 |
351 |
$21K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
373 |
360 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
202 |
202 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
717 |
705 |
$7K |
| 99051 |
|
415 |
389 |
$2K |
| 99177 |
|
325 |
324 |
$1K |
| 90461 |
|
119 |
116 |
$1K |
| 90688 |
|
26 |
26 |
$427.17 |
| 90686 |
|
12 |
12 |
$2.00 |