| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,110 |
977 |
$41K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
528 |
487 |
$35K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
326 |
296 |
$21K |
| 85018 |
|
1,018 |
864 |
$18K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
223 |
220 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
204 |
198 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
71 |
71 |
$5K |
| 90698 |
|
204 |
140 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
138 |
122 |
$2K |
| 92587 |
|
446 |
381 |
$2K |
| 90686 |
|
129 |
127 |
$710.00 |
| 90700 |
|
20 |
15 |
$593.15 |
| 99173 |
|
566 |
480 |
$369.62 |
| 90633 |
|
129 |
111 |
$308.66 |
| 81003 |
|
460 |
387 |
$162.49 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
20 |
15 |
$116.82 |
| 90670 |
|
380 |
280 |
$104.00 |
| 90744 |
|
55 |
40 |
$98.00 |
| 90685 |
|
26 |
25 |
$40.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,453 |
1,201 |
$30.00 |
| 83655 |
|
109 |
92 |
$8.50 |
| 90461 |
|
761 |
561 |
$0.00 |
| 90715 |
|
17 |
12 |
$0.00 |
| 90734 |
|
27 |
21 |
$0.00 |
| 90707 |
|
68 |
24 |
$0.00 |
| 90651 |
|
23 |
17 |
$0.00 |
| 90716 |
|
68 |
24 |
$0.00 |