| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,249 |
1,961 |
$126K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,441 |
1,394 |
$31K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
402 |
366 |
$30K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
116 |
116 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
26 |
26 |
$1K |
| 81002 |
|
730 |
707 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$579.31 |
| 99173 |
|
483 |
483 |
$487.78 |
| 87070 |
|
195 |
184 |
$290.73 |
| 96127 |
|
135 |
133 |
$208.93 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
33 |
32 |
$206.28 |
| 99050 |
|
13 |
13 |
$104.02 |
| 90686 |
|
239 |
239 |
$80.68 |
| 87184 |
|
47 |
43 |
$39.16 |
| 90688 |
|
17 |
17 |
$36.06 |
| 36415 |
Collection of venous blood by venipuncture |
25 |
25 |
$27.21 |
| 99051 |
|
45 |
45 |
$21.00 |
| 99000 |
|
214 |
205 |
$10.02 |