| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,402 |
3,138 |
$136K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,737 |
1,368 |
$47K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
611 |
570 |
$37K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
242 |
234 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
717 |
692 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
69 |
67 |
$4K |
| 81002 |
|
934 |
900 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
40 |
37 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
27 |
25 |
$1K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
14 |
14 |
$1K |
| 99173 |
|
153 |
148 |
$342.20 |
| 36416 |
|
42 |
40 |
$106.15 |
| 90700 |
|
25 |
25 |
$0.00 |
| 90713 |
|
12 |
12 |
$0.00 |
| 90686 |
|
242 |
238 |
$0.00 |