| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,753 |
3,501 |
$239K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,712 |
1,672 |
$39K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
297 |
297 |
$25K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
178 |
174 |
$14K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
149 |
148 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
109 |
106 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
44 |
44 |
$4K |
| 90461 |
|
158 |
158 |
$2K |
| 90686 |
|
269 |
267 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
143 |
141 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
19 |
19 |
$420.77 |
| 96127 |
|
46 |
46 |
$201.63 |
| 99173 |
|
334 |
333 |
$96.16 |
| G8482 |
Influenza immunization administered or previously received |
489 |
468 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
102 |
95 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
84 |
82 |
$0.00 |