| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,988 |
3,882 |
$246K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,492 |
2,327 |
$73K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
849 |
814 |
$64K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
544 |
516 |
$44K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
538 |
522 |
$41K |
| 92552 |
|
1,425 |
1,329 |
$34K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,301 |
1,928 |
$30K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
287 |
232 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
190 |
161 |
$14K |
| 81002 |
|
2,296 |
2,131 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
60 |
54 |
$6K |
| 69210 |
|
14 |
14 |
$570.28 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
18 |
12 |
$469.09 |
| 86580 |
|
12 |
12 |
$78.00 |
| 90656 |
|
172 |
137 |
$18.78 |
| 90686 |
|
260 |
219 |
$0.00 |
| 90660 |
|
17 |
13 |
$0.00 |
| 90620 |
|
171 |
141 |
$0.00 |
| 90651 |
|
36 |
32 |
$0.00 |
| 90716 |
|
31 |
30 |
$0.00 |
| 90734 |
|
53 |
48 |
$0.00 |
| 90670 |
|
93 |
86 |
$0.00 |
| 90700 |
|
13 |
12 |
$0.00 |
| 90655 |
|
250 |
210 |
$0.00 |
| 90685 |
|
14 |
12 |
$0.00 |
| 90707 |
|
18 |
17 |
$0.00 |
| 90649 |
|
43 |
41 |
$0.00 |