| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,231 |
1,081 |
$60K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
124 |
90 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
112 |
99 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
95 |
81 |
$7K |
| 96127 |
|
216 |
192 |
$3K |
| 90686 |
|
264 |
245 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
35 |
25 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
129 |
124 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
40 |
38 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
35 |
31 |
$532.10 |
| 90656 |
|
27 |
24 |
$451.17 |
| 90685 |
|
29 |
25 |
$185.60 |
| 87400 |
|
13 |
12 |
$124.40 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
768 |
626 |
$10.00 |
| 90461 |
|
156 |
119 |
$0.00 |