| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
794 |
762 |
$39K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
454 |
452 |
$20K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
253 |
236 |
$16K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
191 |
191 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
162 |
152 |
$5K |
| 99058 |
|
242 |
241 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
329 |
326 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
281 |
140 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
40 |
40 |
$3K |
| 85018 |
|
19 |
19 |
$36.43 |
| 90670 |
|
162 |
162 |
$0.00 |
| 90648 |
|
53 |
53 |
$0.00 |
| 90713 |
|
12 |
12 |
$0.00 |
| 90685 |
|
28 |
28 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 90700 |
|
16 |
16 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 90686 |
|
48 |
48 |
$0.00 |
| 90680 |
|
71 |
71 |
$0.00 |
| 90698 |
|
38 |
38 |
$0.00 |
| 90744 |
|
15 |
15 |
$0.00 |