| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,115 |
3,437 |
$405K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,040 |
1,968 |
$65K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
885 |
795 |
$61K |
| 99051 |
|
775 |
722 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
95 |
91 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
358 |
227 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
292 |
284 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
113 |
106 |
$1K |
| 81002 |
|
611 |
575 |
$7.32 |
| 90685 |
|
39 |
38 |
$0.00 |
| 90461 |
|
49 |
49 |
$0.00 |
| 90686 |
|
931 |
901 |
$0.00 |
| 99000 |
|
59 |
53 |
$0.00 |
| 87081 |
|
15 |
13 |
$0.00 |