| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
437 |
403 |
$29K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
135 |
132 |
$13K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
155 |
151 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
34 |
29 |
$3K |
| 99051 |
|
120 |
117 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
20 |
20 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
34 |
32 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
56 |
28 |
$946.86 |
| 85018 |
|
120 |
114 |
$358.04 |
| 81003 |
|
17 |
17 |
$37.01 |
| 36416 |
|
143 |
134 |
$13.44 |
| 90686 |
|
34 |
34 |
$0.00 |
| 90680 |
|
13 |
13 |
$0.00 |
| 90723 |
|
14 |
14 |
$0.00 |
| 90648 |
|
31 |
31 |
$0.00 |
| 90670 |
|
20 |
20 |
$0.00 |